SU1725875A1 - Endoprosthesis of the eye orbit inferior wall - Google Patents
Endoprosthesis of the eye orbit inferior wall Download PDFInfo
- Publication number
- SU1725875A1 SU1725875A1 SU894767662A SU4767662A SU1725875A1 SU 1725875 A1 SU1725875 A1 SU 1725875A1 SU 894767662 A SU894767662 A SU 894767662A SU 4767662 A SU4767662 A SU 4767662A SU 1725875 A1 SU1725875 A1 SU 1725875A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- endoprosthesis
- titanium nickelide
- plates
- orbit
- curved plate
- Prior art date
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- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 claims abstract description 11
- 229910052719 titanium Inorganic materials 0.000 claims abstract description 11
- 239000010936 titanium Substances 0.000 claims abstract description 11
- 208000002021 Enophthalmos Diseases 0.000 claims abstract description 3
- 230000037390 scarring Effects 0.000 claims description 2
- 208000035965 Postoperative Complications Diseases 0.000 claims 1
- 230000000890 antigenic effect Effects 0.000 claims 1
- 230000002349 favourable effect Effects 0.000 claims 1
- 238000009434 installation Methods 0.000 claims 1
- 238000000034 method Methods 0.000 claims 1
- 238000002316 cosmetic surgery Methods 0.000 abstract description 2
- 239000003814 drug Substances 0.000 abstract description 2
- 230000002265 prevention Effects 0.000 abstract description 2
- 231100000241 scar Toxicity 0.000 abstract description 2
- 238000011084 recovery Methods 0.000 abstract 1
- 230000007547 defect Effects 0.000 description 4
- 210000000988 bone and bone Anatomy 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 210000003041 ligament Anatomy 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000028771 Facial injury Diseases 0.000 description 1
- 208000007536 Thrombosis Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000001886 ciliary effect Effects 0.000 description 1
- 210000002808 connective tissue Anatomy 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 210000000744 eyelid Anatomy 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 239000012634 fragment Substances 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 230000010352 nasal breathing Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
Classifications
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
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- Life Sciences & Earth Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
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- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Ophthalmology & Optometry (AREA)
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- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
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Abstract
Изобретение относитс к медицине и может быть использовано в офтальмологии, пластической хирургии. Целью изобретени вл етс восстановление бинокул рного зрени , профилактика рубцов и энофталь- ма. Энопротез имеет сферически изогнутую пластину и дополнительно снабжен сферически изогнутой пластиной, ориентированной параллельно. Между ними установлена конусна спиральна пружина из сверх эластичного никелида титана. Пластины выполнены из пористого никелида титана. 4 ил.The invention relates to medicine and can be used in ophthalmology, plastic surgery. The aim of the invention is the recovery of binocular vision, scar prevention and enophthalmos. Enoprosthesis has a spherically curved plate and is additionally provided with a spherically curved plate, oriented parallel. Between them there is a conical spiral spring of super elastic titanium nickelide. The plates are made of porous titanium nickelide. 4 il.
Description
Изобретение относитс к медицине, конкретно к челюстно-лицевой хирургии, и может быть использовано в офтальмологии, пластической хирургии.This invention relates to medicine, specifically to maxillofacial surgery, and can be used in ophthalmology, plastic surgery.
Цель изобретени - восстановление бинокул рного зрени , профилактика рубцов и энофтальма.The purpose of the invention is the restoration of binocular vision, scar prevention and enophthalmos.
Поставленна цель достигаетс тем, что эндопротез нижней стенки глазницы, содержащий сферически изогнутую пластину, снабжен дополнительной сферически изогнутой пластиной, ориентированной параллельно и одинаково с основной, и конусной спиральной пружиной из сверхэластичного никелида титана, концы которой скреплены с пластинами в их средней части, при этом пластины выполнены из пористого никелида титана.The goal is achieved by the fact that the endoprosthesis of the lower wall of the orbit, containing a spherically curved plate, is provided with an additional spherically curved plate, oriented parallel to and the same with the main, and a conical helical spring of super-elastic titanium nickelide, the ends of which are attached to the plates in their middle part, The plates are made of porous titanium nickelide.
На фиг. 1 изображена основна пластина с пружиной, вид сверху; на фиг, 2 - эндопротез , вид сбоку; на фиг. 3 - то же, перед введением в глазницу; на фиг. 4 - эндопротез в полости глазницы.FIG. 1 shows the main plate with a spring, top view; Fig, 2 - endoprosthesis, side view; in fig. 3 - the same, before the introduction into the orbit; in fig. 4 - endoprosthesis in the cavity of the orbit.
Эндопротез нижней стенки глазницы (фиг. 2 ) содержит основную 1 и дополнительную 2 сферически изогнутые пластины, ориентированные параллельно и одинаково . Со средними част ми пластин 1, 2 скреп- лена концами конусна спиральна пружина 3. Основна 1 и дополнительна 2 пластины выполнены из.пористого никелида титана. Пружина 3 выполнена из сверхэластичного никелида титана.The endoprosthesis of the lower wall of the orbit (Fig. 2) contains the main 1 and additional 2 spherically curved plates, oriented parallel and in the same way. With the middle parts of the plates 1, 2, the conical spiral spring 3 is fastened together. The main 1 and additional 2 plates are made of porous titanium nickelide. Spring 3 is made of super-elastic titanium nickelide.
Эндопротез примен ют следующим образом .The endoprosthesis is used as follows.
Производ т разрез кожи по ходу ресничного кра нижнего века. Подлежащие ткани рассекают строго в подкожном слое, чтобы не травмировать сосуды и тарзальную пластинку. Скелетируют нижнеглазничный край. На всем прот жении раны тупо отодвигают тарзорбитальную фасцию и провод т ревизию нижней стенки глазницы. Удал ют мелкие костные фрагменты, сгустки крови, вправл ют пролабированные м гкие ткани, при наличии рубцов последниеMake a skin incision along the ciliary edge of the lower eyelid. Subject tissue is cut strictly in the subcutaneous layer, so as not to injure the vessels and tarsal plate. Skeletonizing lower ocular margin. Throughout the wound, the tarsorbital fascia is stupidly removed and the lower wall of the orbit is inspected. Small bone fragments, blood clots are removed, prolapsed soft tissues are set in, in the presence of scarring, the last
СWITH
4,four,
иссекают по периметру дефекта. В области нижнего кра глазницы, латерально от хода подглазничного канала, проделывают два фрезерных отверсти на рассто нии 5 мм друг от друга и глубиной 3-5 мм. Основную пластину 1 моделируют по форме дефекта, а конусную спиральную пружину 3 - по необходимой высоте подн ти глазного блока . Пластины эндопротеза 1, 2 сжимают специальным зажимом до рассто ни , равного сечению витка пружины. Конусность пружины 3 предотвращает перехлыст витков . В таком положении эндопротез ввод т в полость глазницы. Основную пластину 1 фиксируют к нижнеглазничному краю скобкой 4 из никелида титана с пам тью формы (фиг. 4), внедр концы скобки в указанные отверсти , Рану промывают антисептиками , послойно ушивают и. дренируют. Первична фиксаци основной пластины обеспечиваетс за счет компрессии скобки 4, при этом сила трени на контакте кость - пористый никелид титана преп тствует миграции пластины. В дальнейшем надежна фиксаци основной пластины обеспечиваетс в результате прорастани ее костной тканью. Фиксаци дополнительной пластины 2 к стенке глазного блока первично обеспечиваетс силой трени в результате возвратного , действи пружины 3. В дальнейшем пластина 3 прорастает соединительной тканью, интегриру сь в ткан х, окружающих глазное блоко. Упругость и гибкость пружины 3 обеспечивает имитацию естественной упругости утраченных мышц и св зок . В ходе реабилитации у больного вырабатываетс обеспечивающа бинокул рное зрение подвижность глаза сохранившимис мышцами и св зками.excised around the perimeter of the defect. In the region of the lower edge of the orbit, lateral to the course of the infraorbital canal, two milling holes are made at a distance of 5 mm from each other and a depth of 3-5 mm. The main plate 1 is modeled according to the shape of the defect, and the tapered helical spring 3, according to the required height of the eye block. The endoprosthesis plates 1, 2 are compressed with a special clamp to a distance equal to the cross section of the spring coil. The taper of the spring 3 prevents overlapping turns. In this position, the endoprosthesis is inserted into the cavity of the orbit. The main plate 1 is fixed to the lower orbital edge with a titanium nickelide bracket 4 with a shape memory (Fig. 4), inserting the ends of the bracket into the indicated holes. drained. The primary fixation of the main plate is ensured by compressing the bracket 4, and the frictional force on the bone – porous titanium nickelide friction prevents the plate from migrating. In the future, reliable fixation of the main plate is provided as a result of its growth by bone tissue. The fixing of the additional plate 2 to the wall of the eye block is primarily provided by friction force as a result of the return action of the spring 3. Subsequently, the plate 3 grows through connective tissue, integrating into the tissues surrounding the eye block. The elasticity and flexibility of the spring 3 provides an imitation of the natural elasticity of the lost muscles and ligaments. During rehabilitation, the patient develops binocular vision, eye mobility with preserved muscles and ligaments.
Пример (клинический). Больна 51 г поступила в клинику челюстно-лицевой хирургии 10.11.87с жалобами на эстетический дефект лица, двоение изображени , затруднение носового дыхани . В анамнезе т жела черепно-лицева травма 29.08.87.An example (clinical). Sick 51 g was admitted to the clinic of maxillofacial surgery 10.11.87 with complaints of aesthetic defect of the face, ghosting, difficulty of nasal breathing. History of cranio-facial injury 29.08.87.
Первична реконструкци не проводилась. На основании клинико-рентгенологическо- го и офтальмологического исследований ус- тановлен диагноз: деформаци Primary reconstruction was not carried out. Based on clinical, radiological and ophthalmologic studies, diagnosis was made: deformity
носо-орбито-скулового комплекса справа, травматический эно- и гипофтальм, ограничение открывани рта. Под эндотрахеаль- ным наркозом 18.11.87 проведена операци : рефрактура и остеосинтез скулового комплекса справа, устранение дефектаnasal-orbit-zygomatic complex on the right, traumatic eno- and hypophthalmos, restriction of mouth opening. Under endotracheal anesthesia, on 18.11.87, an operation was performed: refracture and osteosynthesis of the zygomatic complex on the right, elimination of the defect
0 нижней стенки глазницы и репозици глазного блока с помощью эндопротеза из пористогоникелидатитана . Послеоперационное течение гладкое, заживление ран первичным нат жением. В ре5 зультате проведенной операции устранена деформаци глазницы и восстановлено бинокул рное зрение. Контрольные осмотры через 6, 12, 18 мес показали эффективность проведенного хирургического лечени .0 the lower wall of the orbit and reposition of the eye block with the help of an endoprosthesis made from poristogonickelidatitan. The postoperative course is smooth, wound healing by primary tension. As a result of the operation, the deformity of the orbit was eliminated and binocular vision was restored. Control examinations after 6, 12, 18 months showed the effectiveness of surgical treatment.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894767662A SU1725875A1 (en) | 1989-12-11 | 1989-12-11 | Endoprosthesis of the eye orbit inferior wall |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU894767662A SU1725875A1 (en) | 1989-12-11 | 1989-12-11 | Endoprosthesis of the eye orbit inferior wall |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1725875A1 true SU1725875A1 (en) | 1992-04-15 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU894767662A SU1725875A1 (en) | 1989-12-11 | 1989-12-11 | Endoprosthesis of the eye orbit inferior wall |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1725875A1 (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5522889A (en) * | 1995-01-13 | 1996-06-04 | University Of Kentucky Research Foundation | Apparatus and method for restoring eyelid function |
| EP0781531A1 (en) * | 1995-12-28 | 1997-07-02 | Raymond-René Derycke | Process and apparatus for facilitating bone growth, in particular for dental and maxillo-facial surgery and apparatus for carrying out the process |
| US6511508B1 (en) * | 2000-08-04 | 2003-01-28 | Environmental Robots, Inc. | Surgical correction of human eye refractive errors by active composite artificial muscle implants |
-
1989
- 1989-12-11 SU SU894767662A patent/SU1725875A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Александров Н.Т. Травма челюстно-лицевой области. М., 1986, с. 267. * |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5522889A (en) * | 1995-01-13 | 1996-06-04 | University Of Kentucky Research Foundation | Apparatus and method for restoring eyelid function |
| EP0781531A1 (en) * | 1995-12-28 | 1997-07-02 | Raymond-René Derycke | Process and apparatus for facilitating bone growth, in particular for dental and maxillo-facial surgery and apparatus for carrying out the process |
| FR2742982A1 (en) * | 1995-12-28 | 1997-07-04 | Derycke Raymond Rene | METHOD AND DEVICE FOR FACILITATING BONE GROWTH, IN PARTICULAR DENTAL SURGERY AND MAXILLO-FACIAL SURGERY AND DEVICE FOR CARRYING OUT SAID METHOD |
| US6511508B1 (en) * | 2000-08-04 | 2003-01-28 | Environmental Robots, Inc. | Surgical correction of human eye refractive errors by active composite artificial muscle implants |
| US7090696B2 (en) | 2000-08-04 | 2006-08-15 | Environmental Robots, Inc. | Surgical correction of human eye refractive errors by active composite artificial muscle implants |
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