Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts

Штин, В. И.; Novikov, V. A.; Chekalkin, Timofey; Gunther, V.E.; Марченко, Екатерина; Choynzonov, E. L.; Kang, Sungchul; Chang, Moon Jong; Kang, Ji Hoon; Obrosov, Aleksei

doi:10.3390/jfb10030027

Cited by 19 publications

(10 citation statements)

References 32 publications

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“…It is simply modified intraoperatively, to attach any desired shape/size for implantation, and can also be screw-fixed, providing a good supporting ability. The authors concluded that this method of reconstruction may be an attractive alternative to Ti-based meshes and plates in patients with enophthalmos, hypoglobus or diplopia, with good functional and cosmetic outcomes [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, the issues in the development of new modalities for reconstructive treatment in zygomatic complex fractures remain extremely actual. Analysis of the properties of metallic materials and alloys shows that alloys based on nickel-titanium alloys are the most compatible materials with body tissues, which is due to the delay of biological systems [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Titanium Nickelide in Midface Fractures Treatment

Shamanaeva

Diachkova

Petruk

et al. 2020

JFB

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Background: The question of reconstruction of human tissues and organs with the use of medical materials is still open, because of the accurate requirements for their biological and physical features. The aim of this study was to prove the efficiency of titanium nickelide constructors in treatment of isolated orbital floor fractures or combination with zygomatico-orbital complex fractures. Methods: Patients with a fracture of zygomatico-orbital complex and/or low orbital floor (n = 44) carried out different treatments: in the first group, osteosynthesis and endoprosthesis with titanium nickelide structures; in the second group, titan mini-plates osteosynthesis; in the third group (‘blow-out’), endoprosthesis with a titanium nickelide mesh; and in the fourth group (‘blow-out’), conservative treatment and monitoring (archive data) (p > 0.05). The paraesthesia, diplopia, enophthalmos and exophthalmos degree were measured in points. Results: In one year, the first and second groups had no differences in level of paraesthesia (p > 0.05). The absence of exophthalmos and differences between first and second groups, and between the third and the fourth groups with positive dynamics inside the groups were proved (p < 0.05). In the first and third groups, enophthalmos was absent, and it increased in the second and fourth groups (p < 0.01, p < 0.11). Diplopia in the first and third groups was absent, and it increased in the second and fourth groups (p < 0.05, p < 0.01). Conclusion: The elasticity and biocompatibility of titanium nickelide make the implant insertion and restoration of the lower orbital wall anatomy easier, with good postoperative clinical results.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Titanium Nickelide in Midface Fractures Treatment

Shamanaeva

Diachkova

Petruk

et al. 2020

JFB

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“…Based on the features of the anatomical structure, the study of the structure of injuries to the MAP, a large number of classifications were created [14]. At the same time, the selection of features that must be taken into account presents a significant difficulty.…”

Section: Main Partmentioning

confidence: 99%

Post-Traumatic Defects And Face Deformations: Features Of Diagnostics And Treatment

Nigmatov¹,

Boymuradov²,

Djuraev³

et al. 2021

TAJMSPR

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The high growth of injuries, the absence in the country of a unified approach to the treatment of victims with pathology of the bones of the face and skull leads to a sharp increase in the number of patients with post-traumatic deformities, defects, often to their disability and death. This problem has recently acquired the greatest importance in connection with the increase in the number of victims in areas of natural disasters and road traffic accidents. Severe multiple fractures of the bones of the middle zone of the facial skeleton, accompanied by craniocerebral trauma of varying degrees, bleeding and liquorrhea, are often outwardly unnoticeable, since they are hidden by pronounced edema, hemorrhages in soft tissues, and can only be determined with a targeted specialized examination. These types of examinations and the provision of specialized medical care are possible only in multidisciplinary centers. Therefore, these types of injuries are not always diagnosed in a timely manner, especially in severely injured with the presence of pronounced injuries of other localizations.

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“…Porous and solid TiNi-based implants and their successful deployment in surgical treatments have encouraged insights for immediate and delayed rib-plasty in cancer patients. Experimental and clinical studies with promising results have demonstrated successful integration of TiNi implants with the formation of regenerated tissues, which anatomically and physiologically restore the injured area [ 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. Recently, porous SHS-TiNi alloys have been reported [ 31 ] to have some features that significantly distinguish them from those manufactured by other methods of powder metallurgy.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Clinical Performance of TiNi-Based Implants Used in Chest Wall Repair after Resection for Malignant Tumors

Topolnitskiy

Chekalkin

Марченко

et al. 2021

JFB

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In this study, we assessed the outcomes after surgical treatment of thoracic post-excision defects in 15 patients, using TiNi knitted surgical meshes and customized artificial TiNi-based ribs. Methods: Eight patients were diagnosed with advanced non-small cell lung cancer (NSCLC) invading the chest wall, of which five patients were T3N0M0, two were T3N1M0, and one was T3N2M0. Squamous cell carcinoma was identified in three of these patients and adenocarcinoma in five. In two cases, chest wall resection and repair were performed for metastases of kidney cancer after radical nephrectomy. Three-dimensional CT reconstruction and X-ray scans were used to plan the surgery and customize the reinforcing TiNi-based implants. All patients received TiNi-based devices and were prospectively followed for a few years. Results: So far, there have been no lethal outcomes, and all implanted devices were consistent in follow-up examinations. Immediate complications were noted in three cases (ejection of air through the pleural drains, paroxysm of atrial fibrillation, and pleuritis), which were conservatively managed. In the long term, no complications, aftereffects, or instability of the thoracic cage were observed. Conclusion: TiNi-based devices used for extensive thoracic lesion repair in this context are promising and reliable biomaterials that demonstrate good functional, clinical, and cosmetic outcomes.

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Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts

Cited by 19 publications

References 32 publications

Titanium Nickelide in Midface Fractures Treatment

Titanium Nickelide in Midface Fractures Treatment

Post-Traumatic Defects And Face Deformations: Features Of Diagnostics And Treatment

Evaluation of Clinical Performance of TiNi-Based Implants Used in Chest Wall Repair after Resection for Malignant Tumors

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