Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method

OBJECTIVES: This study aims to present a novel operation method of delivering both vascular protection and strengthening of the muscles, as well as the transposition of the muscles. METHODS: The patients’ files were scanned retrospectively. All patients underwent a complete eye examination in additi...

Descripción completa

Detalles Bibliográficos
Autores principales: Gokyigit, Birsen, Inal, Asli, Ocak, Bulut, Aygit, Ebru Demet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842050/
https://www.ncbi.nlm.nih.gov/pubmed/35187445
http://dx.doi.org/10.14744/bej.2019.28199
_version_ 1784650976010960896
author Gokyigit, Birsen
Inal, Asli
Ocak, Bulut
Aygit, Ebru Demet
author_facet Gokyigit, Birsen
Inal, Asli
Ocak, Bulut
Aygit, Ebru Demet
author_sort Gokyigit, Birsen
collection PubMed
description OBJECTIVES: This study aims to present a novel operation method of delivering both vascular protection and strengthening of the muscles, as well as the transposition of the muscles. METHODS: The patients’ files were scanned retrospectively. All patients underwent a complete eye examination in addition to motility examination, both preoperatively and postoperatively. Patients were followed up at least six months. Pre- and post-operative deviation measurement values were compared statistically. Operation technique: After being exposed and the rectus muscle was freed from the facial structure as far as planned resection amount. 6-0 coated vicryl sutures were then placed through the two sides of the muscle while protecting the blood vessels. Then, each suture was placed close to the muscle insertion and was aimed at transposition side. For example, if the target was to transpose the superior rectus at the temporal side, nasal side suture was placed at temporal edge of muscle insertion, and temporal side suture is placed approximately a tendon width laterally to the insertion. RESULTS: In patients who were planned resection 7 mm and over, the procedure for complete muscle widening transposition was successful. Only 2/3 transpositions could be achieved in four patients who underwent less than 7 mm of strengthening. There was no anterior segment ischemia in three patients who underwent three rectus muscle surgery in the same eye. CONCLUSION: ‘Sliding shape’ design extraocular muscle plication found a simple, safe and effective procedure for patients who needed resection and transposition operation. More patients and longer follow-up are needed to understand the real effectiveness.
format Online
Article
Text
id pubmed-8842050
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Kare Publishing
record_format MEDLINE/PubMed
spelling pubmed-88420502022-02-18 Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method Gokyigit, Birsen Inal, Asli Ocak, Bulut Aygit, Ebru Demet Beyoglu Eye J Surgical Technique OBJECTIVES: This study aims to present a novel operation method of delivering both vascular protection and strengthening of the muscles, as well as the transposition of the muscles. METHODS: The patients’ files were scanned retrospectively. All patients underwent a complete eye examination in addition to motility examination, both preoperatively and postoperatively. Patients were followed up at least six months. Pre- and post-operative deviation measurement values were compared statistically. Operation technique: After being exposed and the rectus muscle was freed from the facial structure as far as planned resection amount. 6-0 coated vicryl sutures were then placed through the two sides of the muscle while protecting the blood vessels. Then, each suture was placed close to the muscle insertion and was aimed at transposition side. For example, if the target was to transpose the superior rectus at the temporal side, nasal side suture was placed at temporal edge of muscle insertion, and temporal side suture is placed approximately a tendon width laterally to the insertion. RESULTS: In patients who were planned resection 7 mm and over, the procedure for complete muscle widening transposition was successful. Only 2/3 transpositions could be achieved in four patients who underwent less than 7 mm of strengthening. There was no anterior segment ischemia in three patients who underwent three rectus muscle surgery in the same eye. CONCLUSION: ‘Sliding shape’ design extraocular muscle plication found a simple, safe and effective procedure for patients who needed resection and transposition operation. More patients and longer follow-up are needed to understand the real effectiveness. Kare Publishing 2019-08-09 /pmc/articles/PMC8842050/ /pubmed/35187445 http://dx.doi.org/10.14744/bej.2019.28199 Text en Copyright: © 2019 by Beyoglu Eye Training and Research Hospital https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Surgical Technique
Gokyigit, Birsen
Inal, Asli
Ocak, Bulut
Aygit, Ebru Demet
Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method
title Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method
title_full Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method
title_fullStr Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method
title_full_unstemmed Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method
title_short Sliding Shape Extraocular Muscle Transposition with Plication: A Novel Method
title_sort sliding shape extraocular muscle transposition with plication: a novel method
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842050/
https://www.ncbi.nlm.nih.gov/pubmed/35187445
http://dx.doi.org/10.14744/bej.2019.28199
work_keys_str_mv AT gokyigitbirsen slidingshapeextraocularmuscletranspositionwithplicationanovelmethod
AT inalasli slidingshapeextraocularmuscletranspositionwithplicationanovelmethod
AT ocakbulut slidingshapeextraocularmuscletranspositionwithplicationanovelmethod
AT aygitebrudemet slidingshapeextraocularmuscletranspositionwithplicationanovelmethod