Treatment and long-term outcome of patients with orbital cavernomas.
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Diagnostic Techniques, Ophthalmological↗
Biomedical subjects
Mario Goisis
Publications and source records attributed to Mario Goisis.
Submental Orotracheal Intubation: An Alternative to Tracheotomy in Transfacial Cranial Base Surgery.
This retrospective study evaluated the safety and efficacy of submental intubation not only for trauma treatment but also for oncological cranial base surgery. The medical records of 24 patients who underwent submental intubation from 1996 to 2002 were reviewed. There were 6 procedures for craniofacial trauma, 12 transmaxillary approaches to the clivus for clivus chordomas, and 6 transmaxillary approaches to the cranial base for chondrosarcomas. Time required for intubation, accidental extubation, postoperative complications, and the healing of intraoral and submental scars were evaluated. The submental orotracheal intubation was completed successfully in all patients. No accidental extubations or tube injuries occurred. The mean time required for intubation was 5 minutes. The only complication was one case of superficial infection of the submental wound. The intraoral and submental accesses healed with minimal scarring in all patients. Submental orotracheal intubation is a useful and safe technique for airway management of craniomaxillofacial traumas and during transfacial approaches to the cranial base. It avoids the complications associated with tracheostomy. It also permits considerable downward retraction of the maxilla after a Le Fort I osteotomy and is associated with good clival exposure. Furthermore, it does not interfere with maxillomandibular fixation at the end of the surgery.
Journal Article↗
Access to the maxillary sinus using a bone flap on a mucosal pedicle: preliminary report.
INTRODUCTION: An alternative procedure to access the maxillary sinus is described. OBJECTIVE: To describe advantages and disadvantages of the suggested technique of harvesting a bone flap based on an antral mucosal pedicle. MATERIAL: Four patients have been operated on to remove foreign bodies or odontogenic cysts. RESULTS: In all four patients, removal of the lesions and foreign bodies was easily accomplished. CONCLUSION: The procedure described respects the morpho-functional integrity of the sinus, is easy, quick and may be performed under local anaesthesia.
Foreign Bodies↗
Fibrous dysplasia of the orbital region: current clinical perspectives in ophthalmology and cranio-maxillofacial surgery.
PURPOSE: To describe the multidisciplinary diagnosis and treatment of patients with orbital fibrous dysplasia, a slowly progressive disease that may lead to asymmetry, disfigurement, and functional ocular problems. METHODS: Ten patients with orbital fibrous dysplasia underwent bifrontal craniotomy through a coronal flap, with the removal of the supraorbital arch and dysplastic process involving the anterior and middle base of the skull. Four patients underwent superior orbital fissure and optic nerve canal decompression. Reconstruction was performed by using an autologous bone graft for both the adults and children, in whom a rib graft was preferred. The mean follow-up was 53.2 +/- 18.3 months (range, 14 to 94 months). The patients' preoperative status and postoperative status were compared. RESULTS: The immediate and long-term morphologic and aesthetic results were good in all cases. All of the patients complained of some degree of diplopia during the immediate postoperative period, but the problem spontaneously resolved within 1 to 6 months in all but one case. No postoperative reduction in visual function was observed in the patients who underwent optic nerve decompression. The only reported complication was the irregular reabsorption of regrafted dysplastic bone in one patient. CONCLUSIONS: A multidisciplinary approach to orbital fibrous dysplasia is fundamental for treatment planning and execution.
Adolescent↗