Nylon Foil (Supramid) Orbital Implants in Pediatric Orbital Fracture Repair

Timoney, Peter J.; Krakauer, Mark; Wilkes, Byron; Lee, H. B. Harold; Nunery, William R.

doi:10.1097/iop.0000000000000051

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…Meaning: A step-by-step approach to help surgeons make more accurate and effective decisions regarding surgical correction even at different time points. Wu et al 44 Retrospective study 3 Soejima et al 45 Retrospective study 4 Pohlenz et al 42 Retrospective study 5 Shah et al 7 Retrospective study 6 Timoney et al 12 Retrospective study 7…”

Section: Resultsmentioning

confidence: 99%

“…There is still consensus toward early surgical correction in children demonstrating diplopia from blowout fractures to prevent profound muscle damage and muscle contractures. 4,8,[11][12][13][14][15][16][17] Interestingly, a longer operation time was found to be associated with a higher possibility of diplopia in the pediatric population. 18 The causes for diplopia in blowout fractures can be separated into two main groups: motility and position.…”

Section: Resultsmentioning

confidence: 99%

“…Berg et al 33 Retrospective study 8 Alhamdani et al 34 Retrospective study 9 Su et al 13 Retrospective study 10 Kim et al 46 Prospective cohort study 11 Bartoli et al 6 Retrospective study 12 Christensen et al 19 Review - 13 Safi et al 2 Retrospective study 14 Marano et al 49 Prospective cohort study 15 Liu et al 9 Retrospective study 16 Jung et al 27 Retrospective study 17 Shin et al 40 Retrospective study 18 Yu et al 8 Retrospective study 19 Felding et al 35 Retrospective study 20 Ramphul et al 1 Retrospective study 21 Silverman et al 24 Retrospective study 22 Firriolo et al 18 Retrospective study 23 Yoo et al 14 Retrospective study 24 Kim et al 47 Retrospective study 25 Felding 11 Review -26…”

Section: Resultsmentioning

confidence: 99%

“…33,36,[43][44][45][46][47] Some authors also noted different outcomes using disparate materials for reconstruction of the orbits. 12,31,42,[46][47][48][49][50][51][52] Moreover, there were insufficient objective data, such as exophthalmometry to measure the positions of the eyeballs or a binocular single vision test for quantification, 21,34 in most of the studies. Further large prospective clinical studies should be performed to clarify these issues, and this algorithm could provide some direction.…”

Section: Discussionmentioning

confidence: 99%

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Is Surgery Needed for Diplopia after Blowout Fractures? A Clarified Algorithm to Assist Decision-making

Lin

Lee

Lin

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Diplopia is a common symptom after blowout fractures, with an incidence of 43.6%-83%. Although there is some consensus toward surgical correction, diplopia is not always resolved by surgery. Thus, there is a clinical dilemma for surgeons with regard to performing surgery at a specific time. This review aimed to create an algorithm to support accurate and effective decision-making. Methods: We reviewed articles published on PubMed during 2013-2020 regarding orbital fractures. Articles discussing surgical treatment for blowout fractures and diplopia were included. Five reviews, six prospective cohort studies, and 33 retrospective studies were identified. After reviewing and summarizing these articles, a step-by-step algorithm was created. Results: Most authors advise immediate surgery when a patient presents with either a positive oculocardiac reflex or a "trapdoor" fracture. Early surgical correction is recommended in children to prevent profound muscle damage. In other scenarios, most authors recommend performing surgery within 2 weeks. The algorithm begins with the aspect of motility, including muscle entrapment assessed by computed tomography or limited movement of the extraocular muscle. When there is no abnormality in motility, the algorithm continues to the aspect of position. Generally, an orbital floor defect of more than 50% or 2 cm 2 or an enophthalmos of more than 2 mm is indicated for surgery. However, diplopia may also gradually resolve after improvement of periorbital edema or swelling. Conclusion:We proposed a step-by-step approach to help surgeons make effective decisions concerning surgical correction for patients suffering from blowout fractures with diplopia at different time points.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Is Surgery Needed for Diplopia after Blowout Fractures? A Clarified Algorithm to Assist Decision-making

Lin

Lee

Lin

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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“…It represents a safe and viable option while mitigating risk of tissue integration and orbital adherence due to its nonporous nature. 80…”

Section: Pediatric Orbital Fracturesmentioning

confidence: 99%

Management of Orbital Floor Fractures

et al. 2019

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Fractures of the orbital floor represent a common yet difficult to manage sequelae of craniomaxillofacial trauma. Repair of these injuries should be carried out with the goal of restoring normal orbital volume, facial contour, and ocular motility. Precise surgical repair is imperative to reduce the risk of long-term debilitating morbidity. This article aims to review concepts on the management of orbital floor fractures in the hope of further elucidating perioperative evaluation and decision-making regarding operative intervention.

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Warfarin-associated delayed orbital hemorrhage after orbital fracture repair with smooth nylon foil implant

Jaru-Ampornpan

Joseph

Grisolia

et al. 2019

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Nylon Foil (Supramid) Orbital Implants in Pediatric Orbital Fracture Repair

Abstract: The nylon foil implant is a safe and effective method to repair pediatric orbital wall fractures given the low complication rate.

Cited by 5 publications

References 16 publications

Is Surgery Needed for Diplopia after Blowout Fractures? A Clarified Algorithm to Assist Decision-making

Is Surgery Needed for Diplopia after Blowout Fractures? A Clarified Algorithm to Assist Decision-making

Management of Orbital Floor Fractures

Warfarin-associated delayed orbital hemorrhage after orbital fracture repair with smooth nylon foil implant

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