Ophthalmic complications associated with orthognathic surgery
Identifieur interne : 003086 ( Main/Exploration ); précédent : 003085; suivant : 003087Ophthalmic complications associated with orthognathic surgery
Auteurs : Dennis T. Lanigan [Canada] ; Ken Romanchuk [Canada] ; Charles K. OlsonSource :
- Journal of Oral and Maxillofacial Surgery [ 0278-2391 ] ; 1993.
Abstract
Ophthalmic complications are rare following maxillary osteotomies. Potential complications include a decrease in visual acuity, extraocular muscle dysfunction, neuroparalytic keratitis, and nasolacrimal problems involving both an increase or a decrease in tearing. Ophthalmic injuries appear to be primarily mediated through indirect injuries to neurovascular structures occurring from traction, compression, or contrecoup injuries from forces transmitted during the pterygomaxillary dysjunction using an osteotome or from fractures extending to the base of the skull or orbit associated with the pterygomaxillary dysjunction or the maxillary downfracture. A review of the literature of previous ophthalmic complications as well as eight new cases are reported. The possible etiologic basis for these injuries is discussed in detail as well as treatment possibilities when appropriate.
Url:
DOI: 10.1016/S0278-2391(10)80502-6
Affiliations:
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Lanigan</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Oral and Maxillofacial Surgery, University of Saskatchewan, Saskatoon</wicri:regionArea><wicri:noRegion>Saskatoon</wicri:noRegion></affiliation><affiliation wicri:level="1"><country>Canada</country><wicri:regionArea>Address correspondence and reprint requests to Dr Lanigan: Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Saskatchewan, Saskatoon, SK</wicri:regionArea><wicri:noRegion>SK</wicri:noRegion></affiliation></author><author><name sortKey="Romanchuk, Ken" sort="Romanchuk, Ken" uniqKey="Romanchuk K" first="Ken" last="Romanchuk">Ken Romanchuk</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Ophthalmology, University of Saskatchewan, Saskatoon</wicri:regionArea><wicri:noRegion>Saskatoon</wicri:noRegion></affiliation></author><author><name sortKey="Olson, Charles K" sort="Olson, Charles K" uniqKey="Olson C" first="Charles K." last="Olson">Charles K. Olson</name><affiliation><wicri:noCountry code="subField">VA.</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Oral and Maxillofacial Surgery</title><title level="j" type="abbrev">YJOMS</title><idno type="ISSN">0278-2391</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1993">1993</date><biblScope unit="volume">51</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="480">480</biblScope><biblScope unit="page" to="494">494</biblScope></imprint><idno type="ISSN">0278-2391</idno></series><idno type="istex">627816FC97A6B5A12127842191C445C96B2A0841</idno><idno type="DOI">10.1016/S0278-2391(10)80502-6</idno><idno type="PII">S0278-2391(10)80502-6</idno><idno type="ArticleID">80502</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Ophthalmic complications are rare following maxillary osteotomies. Potential complications include a decrease in visual acuity, extraocular muscle dysfunction, neuroparalytic keratitis, and nasolacrimal problems involving both an increase or a decrease in tearing. Ophthalmic injuries appear to be primarily mediated through indirect injuries to neurovascular structures occurring from traction, compression, or contrecoup injuries from forces transmitted during the pterygomaxillary dysjunction using an osteotome or from fractures extending to the base of the skull or orbit associated with the pterygomaxillary dysjunction or the maxillary downfracture. A review of the literature of previous ophthalmic complications as well as eight new cases are reported. The possible etiologic basis for these injuries is discussed in detail as well as treatment possibilities when appropriate.</div></front></TEI><affiliations><list><country><li>Canada</li></country></list><tree><noCountry><name sortKey="Olson, Charles K" sort="Olson, Charles K" uniqKey="Olson C" first="Charles K." last="Olson">Charles K. Olson</name></noCountry><country name="Canada"><noRegion><name sortKey="Lanigan, Dennis T" sort="Lanigan, Dennis T" uniqKey="Lanigan D" first="Dennis T." last="Lanigan">Dennis T. Lanigan</name></noRegion><name sortKey="Lanigan, Dennis T" sort="Lanigan, Dennis T" uniqKey="Lanigan D" first="Dennis T." last="Lanigan">Dennis T. Lanigan</name><name sortKey="Romanchuk, Ken" sort="Romanchuk, Ken" uniqKey="Romanchuk K" first="Ken" last="Romanchuk">Ken Romanchuk</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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