• 제목/요약/키워드: orbital

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노화된 안검에서 상안검 교정술 시 안와 격막 접근법 (Septal Approach on Upper Blepharoplasty in Elderly Person)

  • 오의선;윤인식;박병윤
    • Archives of Plastic Surgery
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    • 제37권5호
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    • pp.659-666
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    • 2010
  • Purpose: Blepharoplasty plays a vital role in facial rejuvenation. Aging eyelids are the result of relaxation of lid structures as the skin, the orbicularis muscle, and mainly the septum, with subsequent protrusion or pseudoherniation of intraorbital fat contents. Traditional blepharoplasty has often involved the excision of excessive lax skin and muscle and removal of fat, leaving the eyelid unnatural and even causing the brow ptosis. The authors propose the septal approach through which the amount of skin excision can be decreased and solid fixation can be achieved in the upper blepharoplasty. Methods: From November 2007 to February 2010, total of 15 patients underwent upper blepharoplasty with septal approach. In 9 patients, orbital septum anchored into the orbital periosteum only. But in 6 patients, the attenuated septum was strengthened through shortening and fixing into orbital periosteum with non-absorbable suture. Results: Pleasing results were obtained from most of the patients. But one patient who had septum anchoring procedure complained of slight undercorrection, therefore secondary operation with septum shortening procedure was followed. Conclusion: We found that the method using orbital septum fixation into orbital periosteum has several advantages: less amount of skin excision, less recurrence rate, and more natural appearance. And the results were reliable and satisfactory.

두개강내로 침윤을 보인 안와 해면상 림프관종 - 증 례 보 고 - (Orbital Cavernous Lymphangioma with Intracranial Extension - Case Report -)

  • 김기현;이성락;조재훈;강동기;김상철
    • Journal of Korean Neurosurgical Society
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    • 제30권1호
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    • pp.105-109
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    • 2001
  • Lymphangioma is a rare benign developmental vascular tumor that may be found in orbit, skull and elsewhere in head and neck. Few cases of extension of this benign but insidious tumor posteriorly out of the bony orbital cavity have been reported. The patient was 40-year-old man complaining of proptosis of right eye for one month. Physical examination revealed severe right exophthalmus, impairment of eyeball movement in all directions. Visual acuity was much impaired and he could percept only light with right eye. CT and MRI scans showed intraconal and extraconal involvement of ill-defined, heterogenous mass with extension of the tumor posteriorly beyond the orbital cavity involving right frontal and temporal lobe, skull and subcutaneous tissue. The tumor was subtotally removed via orbito-frontal approach without damaging vital neural and orbital component. Then, orbital roof reconstruction and cranioplasty were done with resin. Successful surgical removal of lymphangioma is very difficult due to its severe infiltration to surrounding tissue and tendency to bleed during debulking. We report a rare case of orbital cavernous lymphangioma with intracranial extension treated with surgical decompression, with review of literatures.

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The Comparison of the Classical Keplerian Orbit Elements, Non-Singular Orbital Elements (Equinoctial Elements), and the Cartesian State Variables in Lagrange Planetary Equations with J2 Perturbation: Part I

  • Jo, Jung-Hyun;Park, In-Kwan;Choe, Nam-Mi;Choi, Man-Soo
    • Journal of Astronomy and Space Sciences
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    • 제28권1호
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    • pp.37-54
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    • 2011
  • Two semi-analytic solutions for a perturbed two-body problem known as Lagrange planetary equations (LPE) were compared to a numerical integration of the equation of motion with same perturbation force. To avoid the critical conditions inherited from the configuration of LPE, non-singular orbital elements (EOE) had been introduced. In this study, two types of orbital elements, classical Keplerian orbital elements (COE) and EOE were used for the solution of the LPE. The effectiveness of EOE and the discrepancy between EOE and COE were investigated by using several near critical conditions. The near one revolution, one day, and seven days evolutions of each orbital element described in LPE with COE and EOE were analyzed by comparing it with the directly converted orbital elements from the numerically integrated state vector in Cartesian coordinate. As a result, LPE with EOE has an advantage in long term calculation over LPE with COE in case of relatively small eccentricity.

Aneurysmal Bone Cyst of the Orbit : A Case Report with Literature Review

  • Yu, Jae-Won;Kim, Ki-Uk;Kim, Su-Jin;Choi, Sun-Seob
    • Journal of Korean Neurosurgical Society
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    • 제51권2호
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    • pp.113-116
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    • 2012
  • Aneurysmal bone cyst (ABC) is benign vascular lesion destructing the cortical bone by the expansion of the vascular channel in the diploic space that usually involve long bone and spine. Orbital ABC is rare and the clinical symptoms deteriorate rapidly after initial slow-progression period for a few months. A 12-year-old female patient visited ophthalmologist due to proptosis and upward gaze limitation of the right eye, and orbital mass was noted in the upper part of right eye on orbital MRI. Five months later, exophthalmos was worsened rapidly with other features of ophthalmoplegia. Orbital mass was enlarged on MRI with intracranial extension. Surgery was done through frontal craniotomy and intracranial portion of the tumor was removed. Destructed orbital roof and mass in the orbit was also removed, and surrounding bone which was suspected to have lesion was resected as much as possible. Histopathological diagnosis was aneurysmal bone cyst. Postoperative course was satisfactory and the patient's eye symptoms improved. Authors report a rare case of orbital ABC with review of the literature. Exact diagnosis by imaging studies is important and it is recommended to perform surgical resection before rapid-progressing period and to resect the mass completely to prevent recurrence.

두피하 혈종으로부터 확장된 안구내 골막하 혈종 - 증 례 보 고 - (Subperiosteal Orbital Extension of Subgaleal Hematoma - A Case Report -)

  • 정병하;문재곤;김창현;이호국;황도윤
    • Journal of Korean Neurosurgical Society
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    • 제29권9호
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    • pp.1255-1257
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    • 2000
  • The authors present a case of subperisoteal orbital hematoma which is extended from subgaleal hematoma. A 15-year-old-male was admitted with a complaint of multiple visual symptoms of left eye following blunt head trauma. He has suffered from Wilson's disease. Several coagulative laboratory findings were abnormal(fibrinogen and coaguation factor V, X). Computed tomography, sonography and magnetic resonance imaging established the subperiosteal orbital extension of subgaleal hematoma into the orbital cavity. Needle aspiration of orbital subperiosteal hematoma was failed but symptoms and signs of the patient were much improved spontaneously following decrease of subgaleal hematoma. The literature is reviewed and management is discussed.

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Late Complication of a Silicone Implant Thirty Years after Orbital Fracture Reconstruction

  • Lee, Chi An;Kang, Seok Joo;Yun, Ji Young;Sun, Hook
    • 대한두개안면성형외과학회지
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    • 제18권2호
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    • pp.137-140
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    • 2017
  • Alloplastic materials used for orbital fracture reconstruction can induce complications, such as infection, migration, extrusion, intraorbital hemorrhage, and residual diplopia. Silicone is one of the alloplastic materials that has been widely used for decades. The author reports a rare case of spontaneous extrusion of a silicone implant that was used for orbital fracture reconstruction 30 years earlier. A 50-year-old man was admitted to the emergency room for an exposed substance in the lower eyelid area of the left eye, which began as a palpable hard nodule a week earlier. The exposed material was considered to be implant used for previous surgery. Under general anesthesia, the implant and parts of the fibrous capsule tissue were removed. Several factors hinder the diagnosis of implant extrusions that occur a long period after the surgery. So, surgeons must be aware that complications with implants can still arise several decades following orbital fracture reconstruction, even without specific causes.

Validation of Geostationary Earth Orbit Satellite Ephemeris Generated from Satellite Laser Ranging

  • Oh, Hyungjik;Park, Eunseo;Lim, Hyung-Chul;Lee, Sang-Ryool;Choi, Jae-Dong;Park, Chandeok
    • Journal of Astronomy and Space Sciences
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    • 제35권4호
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    • pp.227-233
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    • 2018
  • This study presents the generation and accuracy assessment of predicted orbital ephemeris based on satellite laser ranging (SLR) for geostationary Earth orbit (GEO) satellites. Two GEO satellites are considered: GEO-Korea Multi-Purpose Satellite (KOMPSAT)-2B (GK-2B) for simulational validation and Compass-G1 for real-world quality assessment. SLR-based orbit determination (OD) is proactively performed to generate orbital ephemeris. The length and the gap of the predicted orbital ephemeris were set by considering the consolidated prediction format (CPF). The resultant predicted ephemeris of GK-2B is directly compared with a pre-specified true orbit to show 17.461 m and 23.978 m, in 3D root-mean-square (RMS) position error and maximum position error for one day, respectively. The predicted ephemeris of Compass-G1 is overlapped with the Global Navigation Satellite System (GNSS) final orbit from the GeoForschungsZentrum (GFZ) analysis center (AC) to yield 36.760 m in 3D RMS position differences. It is also compared with the CPF orbit from the International Laser Ranging Service (ILRS) to present 109.888 m in 3D RMS position differences. These results imply that SLR-based orbital ephemeris can be an alternative candidate for improving the accuracy of commonly used radar-based orbital ephemeris for GEO satellites.

Endoscopic slide-in orbital wall reconstruction for isolated medial blowout fractures

  • Kim, Taewoon;Kim, Baek-Kyu
    • 대한두개안면성형외과학회지
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    • 제21권6호
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    • pp.345-350
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    • 2020
  • Background: This study evaluated the efficacy of the endoscopic medial orbital wall repair by comparing it with the conventional transcaruncular method. This surgical approach differs from the established endoscopic technique in that we push the mesh inside the orbit rather than placing it over the defect. Methods: We retrospectively reviewed 40 patients with isolated medial orbital blowout fractures who underwent medial orbital wall reconstruction. Twenty-six patients underwent endoscopic repair, and 14 patients underwent external repair. All patients had preoperative computed tomography scans taken to determine the defect size. Pre- and postoperative exophthalmometry, operation time, the existence of diplopia, and pain were evaluated and compared between the two methods. We present a case showing our procedure. Results: The operation time was significantly shorter in the endoscopic group (44.7 minutes vs. 73.9 minutes, p= 0.035). The preoperative defect size, enophthalmos correction rate, and pain did not significantly differ between the two groups. All patients with preoperative diplopia, eyeball movement limitation, or enophthalmos had their symptoms resolved, except for one patient who had preexisting strabismus. Conclusion: This study demonstrates that endoscopic medial orbital wall repair is not inferior to the transcaruncular method. The endoscopic approach seems to reduce the operation time, probably because the dissection process is shorter, and no wound repair is needed. Compared to the previous endoscopic method, our method is not complicated, and is more physiological. Larger scale studies should be performed for validation.

ORBITAL CONTRACTION IN METRIC SPACES WITH APPLICATIONS OF FRACTIONAL DERIVATIVES

  • Haitham Qawaqneh;Waseem G. Alshanti;Mamon Abu Hammad;Roshdi Khalil
    • Nonlinear Functional Analysis and Applications
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    • 제29권3호
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    • pp.649-672
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    • 2024
  • This paper explores the significance and implications of fixed point results related to orbital contraction as a novel form of contraction in various fields. Theoretical developments and theorems provide a solid foundation for understanding and utilizing the properties of orbital contraction, showcasing its efficacy through numerous examples and establishing stability and convergence properties. The application of orbital contraction in control systems proves valuable in designing resilient and robust control strategies, ensuring reliable performance even in the presence of disturbances and uncertainties. In the realm of financial modeling, the application of fixed point results offers valuable insights into market dynamics, enabling accurate price predictions and facilitating informed investment decisions. The practical implications of fixed point results related to orbital contraction are substantiated through empirical evidence, numerical simulations, and real-world data analysis. The ability to identify and leverage fixed points grants stability, convergence, and optimal system performance across diverse applications.

Orbital Wall Restoring Surgery in Pure Blowout Fractures

  • Lim, Nam Kyu;Kang, Dong Hee;Oh, Sang Ah;Gu, Ja Hea
    • Archives of Plastic Surgery
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    • 제41권6호
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    • pp.686-692
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    • 2014
  • Background Restoring orbital volume in large blowout fractures is still a technically challenge to the orbital surgeon. In this study, we restored the orbital wall using the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses, and we compared the surgical outcome to that of a conventional transorbital method. Methods A retrospective review of all patients with pure unilateral blowout fractures between March 2007 and March 2013 was conducted. 150 patients were classified into two groups according to the surgical method: conventional transorbital method (group A, 75 patients, control group), and the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses (group B, 75 patients, experimental group). Each group was subdivided depending on fracture location: group I (inferior wall), group IM (inferomedial wall), and group M (medial wall). The surgical results were assessed by the Hertel scale and a comparison of preoperative and postoperative orbital volume ratio (OVR) values. Results In the volumetric analysis, the OVR decreased more by the experimental groups than each corresponding control groups (P<0.05). Upon ophthalmic examination, neither the differences among the groups in the perioperative Hertel scale nor the preoperative and postoperative Hertel scales were statistically significant (P>0.05). Conclusions Our surgical results suggest that orbital volume was more effectively restored by the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses than the conventional method, regardless of the type of fracture.