Osteogenesis distraction: a new three-dimensional strategy for the treatment of a severe microorbit. Case report

Literature describes that congenital eye loss can be the most important reason of the microorbit. This development deficiency brings functional, physical and psychological consequences. I will present a new treatment alternative for the severe microorbit, in which the conventional treatments are not possible to use.

Method: There is a 6/1 years old female with bilateral cleft lip and palate, and right anophthalmia. She had a severe microorbit and it was impossible to use conventional therapy in order to stimulate the orbit growth for the rehabilitation with an ocular prothesis.

It was decided to use the orbital distractor, which movements are three-dimensional: orbit expansion and posterior–anterior movement by means of an osteotomy in four segments of the orbit.

Results: The activation of the distractor began at the seventh day, it was achieved a posterior–anterior movement of the orbit and the expansion of the laterals and medials walls. The period of consolidation was 22 days. The placement of the ocular prothesis in cavity was done four and a half months after the distractor was taken off.

Conclusion: The craniofacial skeleton is formed by bones, in three-dimensional form. It is necessary to look for alternatives of treatment that recover the anatomy with more aesthetic, functional and permanent results. The distractor used in this case is a new alternative, but it needs specific modifications of size to favor its comfort during its use and to prevent the ulcers caused by pressure of the distractor contact on the skin and its movement.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Osteogenesis distraction: a new three-dimensional strategy for the treatment of a severe microorbit. Case report
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