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Eine seltene Spätkompükation nach Implantation einer TeflonR- Platte bei Orbitabodenfraktur

An unusual late complication of orbital floor fracture repair with a teflon implant

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Zusammenfassung

Ein 27-jähriger Patient entwickelte 12 Jahre nach Versorgung einer Orbitabodenfraktur mit einer TeflonR-Platte einen unilateralen Exophthalmus und Motilitätsstörungen Im Orbita-CT konnte eine zystenartige Struktur nachgewiesen werden, welche die TeflonR-Platte umschloß. Die TeflonR-Platte wurde operativ entfernt und der Zysteninhalt abgesaugt. Es zeigten sich vor allem Granulozyten und Makrophagen in der Flüssigkeit. Die Protrusio bulbi ging deutlich zurück, die Motilitätsstörungen besserten sich. 6 Monate nach der Revision war noch keine erneute Zyste nachweisbar.

Summary

A 27 year old male developed a unilateral proptosis combined with motility disturbances 12 years after traumatic orbital floor repair with a teflon-implant.

The orbital-CT-scan showed a cyst — like structure that surrounded the teflon implant.

The teflon implant war surgically removed and the cyst content sucked off. The fluid contained mostly granulocytes and makrophages. Postoperatly the proptosis resolved and the ocular motility improved significantly.

Six months after surgery no new cyst was observed.

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Authors and Affiliations

  1. Universitäts-Augenklinik Münster, Domagkstraße 15, D-W-4400, Münster, Bundesrepulblik Deutschland

    W. Förster, Ch. Lawin-Brüssel & H. Busse

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  1. W. Förster
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  2. Ch. Lawin-Brüssel
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  3. H. Busse
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Förster, W., Lawin-Brüssel, C. & Busse, H. Eine seltene Spätkompükation nach Implantation einer TeflonR- Platte bei Orbitabodenfraktur. Spektrum Augenheilkd 6, 288–291 (1992). https://doi.org/10.1007/BF03162699

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  • DOI: https://doi.org/10.1007/BF03162699

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