oai:publications.rwth-aachen.de:63304
type: CreativeWork
name: Das Krankheitsbild und die Behandlungsalternativen der Unterlidretraktion bei Patienten mit Morbus Basedow nach transpalpebraler Orbitadekompression : Gegenüberstellung der Ergebnisse nach Konchaknorpel- und PDS-Folienimplantation in Hinsicht auf Funktionalität und Ästhetik
description: Several biological and synthetical materials are used for the treatment of Lower Eyelid Retraction in patients with Endocrine Ophthalmopathy. The purpose of this retrospective study was to assess and compare the functional and aesthetical postoperative results in 38 patients treated with thin Poly-p-dioxanone foil (PDS-foil) to those in 39 patients treated with auricular cartilage, between 1999 and 2005 at the Department of Plastic Surgery of Dreifaltigkeits-Hospital, Wesseling/Koeln. The records of 77 patients who underwent auricular cartilage transplantation or PDS-foil implantation after transpalpebral orbital decompression were retrospectively reviewed. In addition, in order to assess the postoperative quality of life, patients were interviewed using questionnaires with questions developed specifically for this study. After graft implantation a statistically significant improvement of Margin-Reflex-Distance-2 (MRD-2) as well as of scleral-show values was evident with both materials. However, the assessment of mean difference in MRD-2 and scleral-show values in this study showed that the postoperative results in cases with PDS-foil implantation were far better than those in cases with auricular cartilage transplantation. Mean length of follow-up was 18 months. The results of this study regarding the complications of these methods are following: 23.61% of cases with auricular cartilage transplantation (30.8% of patients) were revised because of graft’s dislocation, while only 15.70% of cases with PDS-foil (26.3% of patients) underwent because of this, a second operation. In 22.22% of cases (25.6% of patients) was the replacement of auricular cartilage with PDS-foil necessary, while 5.71% of cases (5.3% of patients) showed rejection of PDS-foil, necessitating an ear cartilage graft. In 15.27% of cases (20.5% of patients), a thinning and flattening of auricular cartilage graft took place, while 7.14% of cases with PDS-foil (10.5% of patients) demonstrated a threaten…
abstract: Several biological and synthetical materials are used for the treatment of Lower Eyelid Retraction in patients with Endocrine Ophthalmopathy. The purpose of this retrospective study was to assess and compare the functional and aesthetical postoperative results in 38 patients treated with thin Poly-p-dioxanone foil (PDS-foil) to those in 39 patients treated with auricular cartilage, between 1999 and 2005 at the Department of Plastic Surgery of Dreifaltigkeits-Hospital, Wesseling/Koeln. The records of 77 patients who underwent auricular cartilage transplantation or PDS-foil implantation after transpalpebral orbital decompression were retrospectively reviewed. In addition, in order to assess the postoperative quality of life, patients were interviewed using questionnaires with questions developed specifically for this study. After graft implantation a statistically significant improvement of Margin-Reflex-Distance-2 (MRD-2) as well as of scleral-show values was evident with both materials. However, the assessment of mean difference in MRD-2 and scleral-show values in this study showed that the postoperative results in cases with PDS-foil implantation were far better than those in cases with auricular cartilage transplantation. Mean length of follow-up was 18 months. The results of this study regarding the complications of these methods are following: 23.61% of cases with auricular cartilage transplantation (30.8% of patients) were revised because of graft’s dislocation, while only 15.70% of cases with PDS-foil (26.3% of patients) underwent because of this, a second operation. In 22.22% of cases (25.6% of patients) was the replacement of auricular cartilage with PDS-foil necessary, while 5.71% of cases (5.3% of patients) showed rejection of PDS-foil, necessitating an ear cartilage graft. In 15.27% of cases (20.5% of patients), a thinning and flattening of auricular cartilage graft took place, while 7.14% of cases with PDS-foil (10.5% of patients) demonstrated a threaten…
author: Archontaki, Maria
language: ger
keywords: info:eu-repo/classification/ddc/610, Lid, Basedow-Krankheit, Knorpeltransplantation, Spacer, Implantation, Kunststoffimplantat, Keratokonjunktivitis sicca, Medizin, lower eyelid retraction, scleral show, dry eye syndrom, Graves disease, Polydioxanone foil, ear cartilage graft
date published: 2010
date modified: 2026-07-30T19:43:35Z
provider: RWTH Aachen University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Publikationsserver der RWTH Aachen University