Sliced Costochondral Chip Grafts in Posttraumatic Enophthalmos Correction

Kim, Tae Hoon; Park, Ie Hyon; Hong, Sa Hyeok; Eun, Seok Chan

doi:10.1097/scs.0000000000003331

Cited by 8 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Costal cartilage grafts were utilised by Kim et al . 24 in the correction of post-traumatic enophthalmos. The team found them to be advantageous due to their consistency, flexibility, resistance to absorption and extrusion, and ease of carving and trimming.…”

Section: Discussionmentioning

confidence: 99%

A systematic literature review and narrative synthesis on the use of autologous cartilage in the repair of orbital fractures

Abukhder,

Onions,

Flaherty

et al. 2024

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Introduction: Fractures of the orbit are common injuries within the maxillofacial skeleton, and can often result in restrictions to ocular movement, diplopia, and enophthalmous if herniation of globe content occurs. Various studies have demonstrated the use of autologous cartilage grafts in the reconstruction of orbital fractures. Methods: A systematic review protocol was registered with PROSPERO, and reported in accordance with the Preferred Reporting for Items for Systematic Reviews and Meta-Analyses. Comprehensive electronic search strategies of four databases were developed. Studies were screened according to the inclusion and exclusion criteria by two independent reviewers. Results: Seven thousand one hundred seventy-one articles were identified following a comprehensive literature search. These articles were filtered for relevance and duplication, which reduced the number of articles to 16. A total of 259 patients underwent orbital reconstruction with the use of autologous cartilage. Conchal cartilage was harvested in 148 patients, auricular cartilage in 22 patients, nasoseptal cartilage in 72 patients, and costal cartilage in 17 patients. Thirty, seven, twelve, and four complications were observed in patients where cartilage was harvested from the concha, auricle, nasoseptum and rib, respectively. Most common complications included diplopia (n=23), infra-orbital para/anaesthesia (n=27), and enophthalmos (n=7). No failure of graft or donor site morbidity were observed in the studies. Conclusion: Autogenous materials such as cartilage can be used as an alternative for orbital reconstruction. Cartilage was considered by the authors to provide adequate structural support to the orbital contents, and that it was easy to harvest, shape, and position.

show abstract

Section: Discussionmentioning

confidence: 99%

A systematic literature review and narrative synthesis on the use of autologous cartilage in the repair of orbital fractures

Abukhder,

Onions,

Flaherty

et al. 2024

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

show abstract

“…Owing to these versatile characteristics, we have used cross-linked ADM for 3 purposes in medial orbital wall fractures. If the pure medial wall defect is large, we used a single piece of ADM with a larger size as an onlay graft, similar to general surgical techniques that use various absorbable materials for orbital wall reconstruction after blowout fracture 3–5 . Second, in cases of extensive inferomedial wall fracture, we used cross-linked ADM as padding between the onlay graft and the fractured, displaced bony segment (Fig.…”

Section: Discussionmentioning

confidence: 99%

Orbitalization of Ethmoidal Sinus With Stacked Cross-linked Acellular Dermal Matrix: A New Strategy to Reconstruct Medial Orbital Wall Fracture

Park¹

2023

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Background: The use of an acellular dermal matrix (ADM) has not been reported in medial orbital wall fracture reconstruction previously. This study aimed to share our early experience with the cross-linked ADM as an allograft material for medial orbital wall reconstruction. Methods: In this study, the author evaluated the medical records and serial facial computed tomography scans of 27 patients with pure medial orbital wall fractures reconstructed by a single surgeon between May 2021 and March 2023. The author routinely approached the medial orbital wall with a retrocaruncular incision. Five out of 27 patients were reconstructed with trimmed, multiple folded, 1.0-mm-thick cross-linked ADM (MegaDerm; L&C Bio, South Korea). Results: All cases reconstructed with cross-linked ADM improved clinically and radiologically without complications. The serial computed tomography findings revealed that implanted cross-linked ADM successfully covered the defect while providing a significant volumizing effect. Conclusions: This is the first study to show the efficacy of cross-linked ADM for orbital medial wall fracture reconstruction. Our strategy of orbitalization of ethmoidal sinus with stacked cross-linked ADM would be an excellent surgical option.

show abstract

“…Various materials are available for enophthalmos correction 8–10 . Traditional absorbable materials, such as hydroxyapatite, poly-L-lactide plates, poly-glycolide, and composites, are easy to manipulate and show complete reabsorption, leaving minimal foreign body reactions 11 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Cross-Linked Acellular Dermal Matrix to Correct Post-Traumatic Enophthalmos

Park

2023

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Giant lipoma rarely occurs in the head and neck area, and all lipomas of larger dimensions, especially on the neck, should be surgically removed due to functional and esthetic problems. Preoperatively, it is very important to perform CT or nuclear magnetic resonance diagnostics, whereas in cases where it is necessary to rule out malignancy, a biopsy is indicated. During tumor extirpation, it must be taken into account the neurovascular structures of the neck to avoid possible functional and aesthetic complications.1. Kransdorf MJ. Benign soft-tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location.

show abstract

Sliced Costochondral Chip Grafts in Posttraumatic Enophthalmos Correction

Abstract: The costochondral graft is adequate for the reconstruction of the fracture, easy to obtain, easily adaptable to the orbital walls, and has minimal morbidity at the donor site.

Cited by 8 publications

References 16 publications

A systematic literature review and narrative synthesis on the use of autologous cartilage in the repair of orbital fractures

A systematic literature review and narrative synthesis on the use of autologous cartilage in the repair of orbital fractures

Orbitalization of Ethmoidal Sinus With Stacked Cross-linked Acellular Dermal Matrix: A New Strategy to Reconstruct Medial Orbital Wall Fracture

Effectiveness of Cross-Linked Acellular Dermal Matrix to Correct Post-Traumatic Enophthalmos

Contact Info

Product

Resources

About