Repair of Orbital Floor Fractures Using Bioresorbable Poly-L/DL-Lactide
                        Plates

Lieger, Olivier; Benoit, Sandrine; Zix, Jürgen; Kellner, Frauke; Iizuka, Tetsuya

doi:10.1001/archfaci.2010.91

Cited by 13 publications

(4 citation statements)

References 41 publications

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“…Al-Shukan et al [21] states that poly-L/D-lactic acid shows adequate strength to stabilise bone segments during the critical period of bone healing. Lieger et al [42] support this claim by finding no evidence of sagging of orbital contents on postoperative CT scans for 46 patients treated with poly-L/D-lactic acid for orbital fractures ≥1.5 cm.…”

Section: Poly-l/d-lactic Acidmentioning

confidence: 96%

“…Poly-L/D-lactic acid is a bioresorbable plate that leaves a stable shelf of healed bone or soft tissue after complete resorption, providing multiple advantages over permanent implants and serving as useful alternatives to orbital floor reconstruction [42,53]. Multiple studies have identified poly-L/D-lactic acid as a safe material to use for orbital reconstruction with a low complication rate of 3.4% [27,53].…”

Section: Poly-l/d-lactic Acidmentioning

confidence: 99%

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The Dilemma of Reconstructive Material Choice for Orbital Floor Fracture: A Narrative Review

Sivam

Enninghorst

2022

Medicines

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The aim of this study is to present a narrative review of the properties of materials currently used for orbital floor reconstruction. Orbital floor fractures, due to their complex anatomy, physiology, and aesthetic concerns, pose complexities regarding management. Since the 1950s, a myriad of materials has been used to reconstruct orbital floor fractures. This narrative review synthesises the findings of literature retrieved from search of PubMed, Web of Science, and Google Scholar databases. This narrative review was conducted of 66 studies on reconstructive materials. Ideal material properties are that they are resorbable, osteoconductive, resistant to infection, minimally reactive, do not induce capsule formation, allow for bony ingrowth, are cheap, and readily available. Autologous implants provide reliable, lifelong, and biocompatible material choices. Allogenic materials pose a threat of catastrophic disease transmission. Newer alloplastic materials have gained popularity. Consideration must be made when deliberating the use of permanent alloplastic materials that are a foreign body with potential body interactions, or the use of resorbable alloplastic materials failing to provide adequate support for orbital contents. It is vital that surgeons have an appropriate knowledge of materials so that they are used appropriately and reduce the risks of complications.

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Section: Poly-l/d-lactic Acidmentioning

confidence: 96%

Section: Poly-l/d-lactic Acidmentioning

confidence: 99%

The Dilemma of Reconstructive Material Choice for Orbital Floor Fracture: A Narrative Review

Sivam

Enninghorst

2022

Medicines

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“…This biomaterial has the benefit of both alloplastic and autologous implants, such as ease of contouring in thermolabile forms, mechanical integrity while the polymer resorbs, and avoidance of donor-site morbidity [83]. PLA offers unique benefits, leaving a stable shelf of healed bone or soft tissue after complete resorption, unlike permanent implants [84]. Initially, polymerized poly(L-lactide) (PLLA) systems were employed due to their crystallinity and hydrophobicity rendering them resistant to hydrolysis, preventing full bioresorption and loss of strength within the initial two years of implantation.…”

Section: Polylactic Acid-based Materialsmentioning

confidence: 99%

“…Comparative research by Al-Shukan and Lindquist showed no significant differences between autologous bone and PLA for fractures exceeding 2 cm 2 [83]. Long-term studies have also confirmed this biomaterial does not cause abnormal tissue reactions on CT [84]. In 2021, Esmail and colleagues conducted a prospective case series involving 22 patients with orbital floor blow-out fractures to evaluate the use of PLA (Resorb X) for repair.…”

Section: Polylactic Acid-based Materialsmentioning

confidence: 99%

The Use of Functional Biomaterials in Aesthetic and Functional Restoration in Orbital Surgery

Wu,

Fujioka,

Daigle

et al. 2024

JFB

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The integration of functional biomaterials in oculoplastic and orbital surgery is a pivotal area where material science and clinical practice converge. This review, encompassing primary research from 2015 to 2023, delves into the use of biomaterials in two key areas: the reconstruction of orbital floor fractures and the development of implants and prostheses for anophthalmic sockets post-eye removal. The discussion begins with an analysis of orbital floor injuries, including their pathophysiology and treatment modalities. It is noted that titanium mesh remains the gold standard for orbital floor repair due to its effectiveness. The review then examines the array of materials used for orbital implants and prostheses, highlighting the dependence on surgeon preference and experience, as there are currently no definitive guidelines. While recent innovations in biomaterials show promise, the review underscores the need for more clinical data before these new materials can be widely adopted in clinical settings. The review advocates for an interdisciplinary approach in orbital surgery, emphasizing patient-centered care and the potential of biomaterials to significantly enhance patient outcomes.

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Biomaterials and implants for orbital floor repair

2011

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Treatment of orbital floor fractures and defects is often a complex issue. Repair of these injuries essentially aims to restore the continuity of the orbital floor and to provide an adequate support to the orbital content. Several materials and implants have been proposed over the years for orbital floor reconstruction, in the hope of achieving the best clinical outcome for the patient. Autografts have been traditionally considered as the "gold standard" choice due to the absence of an adverse immunological response, but they are available in limited amounts and carry the need for extra surgery. In order to overcome the drawbacks related to autografts, researchers' and surgeons' attention has been progressively attracted by alloplastic materials, which can be commercially produced and easily tailored to fit a wide range of specific clinical needs. In this review the advantages and limitations of the various biomaterials proposed and tested for orbital floor repair are critically examined and discussed. Criteria and guidelines for optimal material/implant choice, as well as future research directions, are also presented, in an attempt to understand whether an ideal biomaterial already exists or a truly functional implant will eventually materialise in the next few years.

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Repair of Orbital Floor Fractures Using Bioresorbable Poly-L/DL-Lactide Plates

Cited by 13 publications

References 41 publications

The Dilemma of Reconstructive Material Choice for Orbital Floor Fracture: A Narrative Review

The Dilemma of Reconstructive Material Choice for Orbital Floor Fracture: A Narrative Review

The Use of Functional Biomaterials in Aesthetic and Functional Restoration in Orbital Surgery

Biomaterials and implants for orbital floor repair

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