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["On the table evisceration": Technical note].

H Guigue Benayoun1, J-M Foletti1, L Guyot1

  • 1Service de chirurgie maxillo-faciale, CHU Nord, chemin des Bourrely, 13015 Marseille, France.

Revue De Stomatologie, De Chirurgie Maxillo-Faciale Et De Chirurgie Orale
|January 19, 2016
PubMed
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Evisceration, a surgical removal of orbital contents, preserves the sclera for better prosthetic eye fit. The "on the table" technique offers good volume restoration and supports a mobile eye prosthesis.

Area of Science:

  • Ophthalmology
  • Ophthalmic Surgery

Background:

  • Evisceration involves removing orbital contents while preserving the sclera.
  • This procedure facilitates optimal esthetic outcomes with eye prosthesis fitting.

Purpose of the Study:

  • To describe the "on the table" evisceration technique.
  • To highlight its efficacy in volume restoration and prosthetic eye support.

Main Methods:

  • The technique involves three steps: optic nerve section and eyeball removal (enucleation).
  • Subsequent removal of globe contents (evisceration) on the operating table.
  • Implantation of a hydroxyapatite orbital implant wrapped in sclera to maintain orbital volume.

Main Results:

  • The "on the table" evisceration technique is straightforward to perform.
Keywords:
Eye enucleationEye eviscerationImplant orbitaireOrbitOrbital implantOrbiteProthèse orbitaireÉnucléationÉviscération

Related Experiment Videos

  • It effectively restores orbital volume.
  • It provides support for a mobile eye prosthesis.

    • Conclusions:

    • Evisceration is indicated for blind, painful, and unaesthetic eyes unsuitable for preservation.
    • The described technique ensures good volume restoration and prosthetic mobility.
    • Hydroxyapatite implant placement and muscular re-insertion are key to successful outcomes.