How to avoid a big hollow after eye enucleation Comment éviter la formation d’un creux suite à une énucléation ? Wie die Entstehung einer tiefen Höhle nach Enukleation vermieden werden kann
Monika Gangl Méd.vét., DEA, DiplECVS Praticien hospitalier Pôle équin, Vetagro-Sup, Campus Vétérinaire de Lyon, 1 Av Bourgelat, F-69280 Marcy l’Etoile France
Aesthetic appearance is one of the major concerns after eye enucleation in the horse. Implants can be used to avoid the apparition of a big hollow, but they are costly, need to be ordered in advance in the correct size, and foreign body reaction can occur post-operatively. We propose an alternative technique which is easy and inexpensive. After transpalpebral enucleation and meticulous haemostasis, a grid which spans the orbit is created as follows. A nonabsorbable monofilament suture material of small size (USP 3-0 or 4-0) is passed through the periosteum at the orbital rim going backwards and forwards between the rostral and caudal borders and between the nasal and lateral borders in a weaving pattern. Subcuteaneous and cutaneous layers are then closed above it. This grid allows for filling of the dead space left in the orbit with granulation tissue before the skin dips into it. Foreign body reactions occur very rarely, but if needed the grid can be very easily removed via a small skin incision. Le résultat esthétique après énucléation est important chez le cheval. Des prothèses peuvent être mises en place pour éviter la formation d’un creux profond à la place de l’œil, mais elles sont couteuses, il faut les commander en avance dans la bonne taille, et elles peuvent engendrer une réaction de corps étranger. Nous proposons une alternative simple et économique. Après l’énucléation transpalpebrale et hémostase méticuleuse, un treillis qui couvre l’orbite est mis en place. Un fil de suture monofilament et non absorbable de petite taille (USP 3-0 ou 4-0) est passé dans le périoste de l’arcade orbitaire en faisant des allerretour entre les bords rostral et caudal et entres les bords nasal et latéral. Les tissus souscutané et cutané sont ensuite apposés par-dessus. Ce treillis permet le remplissage de l’espace mort au sein de l’orbite avec du tissu de granulation avant que la peau ne le tapisse. Dans des cas rares, une réaction de corps étranger survient, le treillis peut alors être retiré facilement par une petite incision cutanée. Das ästhetische Endergebnis spielt eine wichtige Rolle nach der Enukleation beim Pferd. Prothesen können eingesetzt werden, sind jedoch teuer, müssen zum Voraus in der richtigen Grösse bestellt werden, und können eine Fremdkörperreaktion hervorrufen. Wir stellen hier eine einfache und kostengünstige Alternative vor. Anschliessend an die transpapebrale Enukleation und sorgfältige Blutungsstillung wird ein Netz dass die Augenhöhle überspannt wie folgt angelegt: Mit monofilamentärem nicht absorbierbarem Fadenmaterial geringer Grösse (USP 3-0 oder 4-0) wird jeweils in die Knochenhaut am Rand der Augenhöhle eingestochen und zwar in einem webartigen Muster hin und her gehend zwischen dem nasalen und lateralen Rand und zwischen dem rostralen und dem kaudalen Land. Anschliessend werden die subkutanen und kutanen Gewebe darüber geschlossen. Dieses Netz ermöglicht dass sich ein Granulationsgewebe in der Augenhöhle bildet und diese teilweise füllt bevor
sich die Haut hineinsenken kann. In seltenen Fällen gibt es eine Fremdkörperreaktion, das Netz kann in diesem Falle sehr leicht durch einen kleinen Hautschnitt entfernt werden.
The following information is derived from a bulletin by a well known resin supplier on their Hetron 32A resin: HETRON 32A cured without filler. Type: Semi-rigid ...
"Special Study â General Aviation Stall/Spin Acci- dents, 1967-1969"; National Transportation Safety. Board Report No. NTSB-AAS-72-8. 4. "Safety in General ...
Jul 21, 2016 - administration's treaty with Moscow limiting ballistic missile defense. While the UN Charter bans acts of aggression, China's seizure and ...
Feldman's Too Big to Fail: The. Hazards of Bank Bailouts. FREDERIC S. MISHKIN. â. This review essay examines whether too-big-to-fail is as serious a problem ...
queries from the XT the current value of Ï. (b) halts execution if Ïe = ν mod N (cheating XT). (c) executes INSi. (d) goto step 1. 7. The XµP. (a) executes INSi. (b).
Anyway, this PDF guide goes through the process step-by-step. It may not be the ... You are welcome to download and print out these instructions for your own use, but please .... The SuperMac mouse works perfectly for this spinner project. The Apple
be found almost anywhere regular bulbs are sold. The pink ...... survive at all. The good news is that .... all those who had tested positive for HIV and sold it at a.
Anyway, this PDF guide goes through the process step-by-step. ... Thank you, and enjoy using your Cheep Spinner - the only build-it-yourself spinner ..... Knowing how to use your power tools properly will greatly reduce the risk of ...... can't assig
the uselessness of its information for contemporary women. This is not to say ..... lives, and men in general. Somewhere in the .... interviews I've conducted and scientific research I've reviewed over ...... Illustrated Book of Sexual Trivia. 64 pp.
The transformation between FP and FC is deduced from a hand-eye calibration method. It consists of an horizon- tal translation of vector (a, b, 0)T and a rotation ...
Apr 22, 2005 - Competitive Advantage in a Saturated Market: How Will the Big Few... ... Related Book. TESTIMONIAL: "I'm impressed with the ... information, see Will Sage Group Cement Its SME Leadership with ACCPAC and Softline ...
Max Muller. Chips from a German ... Karl Berry. Zootopia Golden Book:I've Got Some News(Zootopia Fan Fiction) (Zootopia Golden Books · For Teens) (Volume ...
packets as one image at the same spatial location. But when the spatial locations of the packets differed, even though the retinal coordinates were matched to ...
All information contained in this book is for entertainment purposes only, ... CHAPTER 1: SHOULD YOU BECOME A PUA? 1 .... materials, listen to our Podcasts and even sign up for a workshop. ..... and lost her focus you will have to resist the temptati
Nov 27, 2018 - End parking minimums: let developers and the free market decide the right amount of parking to provide. 2. Manage and right-price on-street ...
Make sure it's a cool and clean haircut, keep your hair in the range that it looks ... that looks effortlessly cool- such as styles that look a bit untidy(use wax)- are ...
not really justify their purchase from a broker. .... We stand behind the machines (organ and perforator) ...... him) has pushed the luxury to include in the program a very complete help file (Bill Gates ... As we are good boys, we will tell you abou
ups, business plans rank no higher than 2âon a scale from 1 to 10 â as a predictor of ..... to name just a few of its highly profitable ancillary spin-offs. Now, lots of ...
MANY PILOTS have looked at sleek plexiglass canopies with more than just a .... to get a Certificate of Airworthiness as the DOT inspector felt that workmanship ...
You must first compile the program on the PC and then download it to the ... t to download the program into the robot through the serial port (âtâ for âtransmitâ: it.