SPECIAL ARTICLE   

European Journal of Oral and Maxillofacial Surgery 2019 December;3(3):63-4

DOI: 10.23736/S2532-3466.19.00168-1

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Use of sterile 5-cc spoon as an ophthalmological retractor in orbital roof and floor reconstruction surgery

Sumudu MEDAWELA ¹ ✉, Kanchana KAPUGAMA ², Nadeena JAYASURIYA ², Ravisankar NUTALAPATI ², Manjula ATTYGALLA ²

¹ Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka; ² Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka

Majority of orbital blow outs resulted from zygomatic-maxillary complex fractures and incidence of isolated orbital blow out fractures are rare. Herniation of orbital content to maxillary sinus is ever challenging surgically as retraction of orbital content should be done with mild and controlled force, avoiding oculi-cardiac reflex and damage to orbital content. This article highlights the use of sterile 5-cc spoon (teaspoon) with a modification as an ophthalmological retractor successfully, in orbital roof and floor reconstruction which is a frequent practice in Dental Hospital Peradneiya, Sri Lanka.

KEY WORDS: Ophthalmologic surgical procedures; Orbital fractures; Reconstructive surgical procedures