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A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007

To determine the difference in surgical outcomes of orbital floor reconstruction between the use of two different reconstructive materials. Method: All patients who underwent orbital floor reconstruction in the study period were divided into two groups according to the materials used for the graf...

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Main Author: Wahid Abdullah, Salem Wajih
Format: Thesis
Language:English
Published: 2008
Subjects:
R Medicine (General)
Online Access:http://eprints.usm.my/53439/1/DR.%20WAHID%20ABDULLAH%20SALEM%20WAJIH%20-24%20pages.pdf
http://eprints.usm.my/53439/
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spelling my.usm.eprints.53439 http://eprints.usm.my/53439/ A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007 Wahid Abdullah, Salem Wajih R Medicine (General) To determine the difference in surgical outcomes of orbital floor reconstruction between the use of two different reconstructive materials. Method: All patients who underwent orbital floor reconstruction in the study period were divided into two groups according to the materials used for the grafts. All patients underwent comprehensive ocular examinations, Goldmann perimetery, Hess chart test and ex ophthalmometry. Results: Thirty-five patients underwent orbital floor reconstruction within the study period in our center. Twenty-six patients were analyzed. Autogenous grafts were used in 14 patients (53 %), and medpor in 12 patients (46.2%). Among our patients, 84.6% of them were males and 15.6 % females. The mean age was 24.5(8.2) years. Motor vehicle accidents were attributed to 96.2%. Motorcyclists were the most common victims (76.9%). The most common clinical presentations were diplopia 61.6% and enophthalmos 50%. In our study 50% of orbital floor reconstructions were carried out within 2 weeks and 73. I % of the cases were approached through blepharoplasty incision. Postoperatively there was no diplopia in primary gaze. In all cases however diplopia in the inferior and peripheral gaze was found 11.5% and 26.9% respectively in autogenous group, and 3.8% and 26.9% in medpor group (P = 1.24). Enophthalmos was 11.4 % in autogenous graft group and 15.3 % in medpor group (P= 0.465). Hess chart was found to be abnormal in 11.4 % for each group (P = 0.062). Restricted extraocular movements were seen in one (3.8 %) patient of autogenous group and 7.7% of patients in medpor group (P = 0.574). Conclusion: The outcome of orbital floor reconstruction by medpor was comparable and as good as autogenous graft, and there was no statistically significant difference between the two groups. Goldmann perimetry was a more objective binocular visual field test to detect diplopia and extraocular deficits. 2008 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/53439/1/DR.%20WAHID%20ABDULLAH%20SALEM%20WAJIH%20-24%20pages.pdf Wahid Abdullah, Salem Wajih (2008) A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007. Masters thesis, Pusat Pengajian Sains Perubatan.
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Wahid Abdullah, Salem Wajih
A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007
description To determine the difference in surgical outcomes of orbital floor reconstruction between the use of two different reconstructive materials. Method: All patients who underwent orbital floor reconstruction in the study period were divided into two groups according to the materials used for the grafts. All patients underwent comprehensive ocular examinations, Goldmann perimetery, Hess chart test and ex ophthalmometry. Results: Thirty-five patients underwent orbital floor reconstruction within the study period in our center. Twenty-six patients were analyzed. Autogenous grafts were used in 14 patients (53 %), and medpor in 12 patients (46.2%). Among our patients, 84.6% of them were males and 15.6 % females. The mean age was 24.5(8.2) years. Motor vehicle accidents were attributed to 96.2%. Motorcyclists were the most common victims (76.9%). The most common clinical presentations were diplopia 61.6% and enophthalmos 50%. In our study 50% of orbital floor reconstructions were carried out within 2 weeks and 73. I % of the cases were approached through blepharoplasty incision. Postoperatively there was no diplopia in primary gaze. In all cases however diplopia in the inferior and peripheral gaze was found 11.5% and 26.9% respectively in autogenous group, and 3.8% and 26.9% in medpor group (P = 1.24). Enophthalmos was 11.4 % in autogenous graft group and 15.3 % in medpor group (P= 0.465). Hess chart was found to be abnormal in 11.4 % for each group (P = 0.062). Restricted extraocular movements were seen in one (3.8 %) patient of autogenous group and 7.7% of patients in medpor group (P = 0.574). Conclusion: The outcome of orbital floor reconstruction by medpor was comparable and as good as autogenous graft, and there was no statistically significant difference between the two groups. Goldmann perimetry was a more objective binocular visual field test to detect diplopia and extraocular deficits.
format Thesis
author Wahid Abdullah, Salem Wajih
author_facet Wahid Abdullah, Salem Wajih
author_sort Wahid Abdullah, Salem Wajih
title A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007
title_short A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007
title_full A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007
title_fullStr A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007
title_full_unstemmed A comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in Hospital Unversiti sains Malaysia from 2004-2007
title_sort comparative study on the outcomes of orbital floor reconstruction with autogenous grafts versus porous polyethylene (medpor) in hospital unversiti sains malaysia from 2004-2007
publishDate 2008
url http://eprints.usm.my/53439/1/DR.%20WAHID%20ABDULLAH%20SALEM%20WAJIH%20-24%20pages.pdf
http://eprints.usm.my/53439/
_version_ 1739828977911988224
score 13.211869

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