Assessment of internal orbital reconstructions for pure blowout fractures: Cranial bone grafts versus titanium mesh

Ellis, Edward; Tan, Yinghui

doi:10.1053/joms.2003.50085

Cited by 222 publications

(131 citation statements)

References 10 publications

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“…Most commonly affected age group was 21-40 years (60%), which also corresponds with the study of Polly et al [10]. This can be attributed to more socially active life, led by this group of individuals [32]. Road traffic accidents were found to be responsible for majority of the fractures.…”

Section: Discussionsupporting

confidence: 85%

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Ram

Singh

Mohammad

et al. 2010

J. Maxillofac. Oral Surg.

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Aim The present study is to compare the effectiveness of iliac crest graft and medpor implant, for repairing traumatic orbital floor defects. Materials and methods A total of 20 patients were included in the study. Autogenous iliac crest graft and medpor implant was used in 10 patients of the each group. Patients were evaluated for the presence or absence of diplopia, enophthalmos, infraorbital nerve paresthesia, and ocular motility disorders. Surgical indications for orbital exploration included entrapment of orbital tissues, large orbital defect (greater than 50% of the orbital floor or more than 8 mm), or orbital floor defects with involvement of other zygomaticofrontal complex fractures. Results All patients were successfully treated by restoration of the orbital wall continuity. Follow-up was done at 1-12 weeks. One patient had postoperative infection. There was no graft extrusion. Conclusions Both the groups showed satisfactory results, but group II was better than group I, as there was no donor site morbidity. Porous polyethylene (Medpor) is a biocompatible and high-density polyethylene implant. It is well tolerated by surrounding tissue, and its porous structure is rapidly infiltrated by host tissue. It is a highly stable and somewhat flexible porous alloplast that has rapid tissue in growth into its pores.

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Section: Discussionsupporting

confidence: 85%

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Ram

Singh

Mohammad

et al. 2010

J. Maxillofac. Oral Surg.

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“…This improvement was shown through measurements of orbital volume pre-and postreconstruction in patients reconstructed with titanium mesh. 1 The utilization of CT-based mirroring-reconstruction images of the orbit was demonstrated in 22 patients with late posttraumatic enophthalmos. The authors manufactured anatomically adaptive titanium meshes through computer-aided design (CAD) and computer-aided manufacturing (CAM) techniques.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the extra data, we can not only observe but anticipate treatment to prevent the development of enophthalmos. 1 Late enophthalmos from unrepaired zygomatic or orbital blowout fractures can lead to functional and esthetic impairment. Sunken appearance of the superior sulcus and depressed globe are obvious cosmetic defects.…”

mentioning

confidence: 99%

Untitled

2017

Surg J

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“…The defect of orbital floor should be reconstructed either with autograft or synthetic material [4][5][6][7][8][9][10][11][12][13][14][15][16].…”

Section: Restoration Of Functionmentioning

confidence: 99%

Reconstruction of Orbital Floor Fractures with Porous Polyethylene Implants: A Prospective Study

Krishna

Soumadip

2015

J. Maxillofac. Oral Surg.

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Purpose The main aim of our study was to assess and evaluate the efficacy, long standing outcome and infection of porous polyethylene implants in treatment of orbital floor fractures. Patient and methods Twelve patients with fractures of orbital floor were included in the study. The cause of fracture was road traffic accident, self fall and cow hit respectively. They also complained of enophthalmos (n = 9), diplopia (n = 3), restricted eye movement (n = 2), impairment of infraorbital nerve (n = 3) and dystopia (n = 6). All the fractures were reconstructed with thin porous polyethylene sheets. Results No implants were extruded and there were no signs of inflammatory reactions against porous polyethylene implant. In all nine patients with pre-op enophthalmos it was corrected post-operatively with p value = 0.000 and was statistically significant; diplopia in one patient was corrected; persistence of double vision was noted in two patients. Restricted eye movement was corrected in all patients, dystopia was corrected in four patients and in two patients have persisting dystopia. Paresthesia persisted in all three patients. Conclusion Our experience was that reconstruction of orbital floor fracture using porous polyethylene implant is reliable, safe and effective and may be used for reconstruction of the orbital floor fracture with no donor site morbidity.

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Assessment of internal orbital reconstructions for pure blowout fractures: Cranial bone grafts versus titanium mesh

Cited by 222 publications

References 10 publications

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Untitled

Reconstruction of Orbital Floor Fractures with Porous Polyethylene Implants: A Prospective Study

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