Use of Porous Polyethylene With Embedded Titanium in Orbital Reconstruction: A Review of 106 Patients

Garibaldi, Daniel C.; Iliff, Nicholas T.; Grant, Michael P.; Merbs, Shannath L.

doi:10.1097/iop.0b013e31815a1235

Cited by 67 publications

(49 citation statements)

References 28 publications

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“…The latter implants have the advantages of being malleable to facilitate shaping and having Medpor (Porex Surgical, Inc., Newnan, Ga.) coating, which allows the implant to slide in more easily than pure titanium implants, which have a tendency to catch on the periorbita. 40 Perhaps the only implant that should not be used is Silastic (Dow Chemical Company, Midland, Mich.), because of the unacceptable extrusion rate. 41 When shaping the implant, one must correct for the convexity of the posterior orbital floor.…”

Section: Clinical Managementmentioning

confidence: 99%

Facial Fractures

Sharabi

Koshy

Thornton

et al. 2011

Plastic and Reconstructive Surgery

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Fractures of the facial skeleton can result in the loss of an aesthetically pleasing appearance and basic function, and many cases subsequently require an operative intervention. The surgeon managing these facial fractures must, at the same time, be cognizant of concomitant injuries, including neurologic, ophthalmologic, and cervical spine issues. For most situations, early stabilization in anatomical position using rigid fixation will give the most accurate reduction for the optimal return of preoperative appearance and function, while reducing long-term soft-tissue contracture.

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Section: Clinical Managementmentioning

confidence: 99%

Facial Fractures

Sharabi

Koshy

Thornton

et al. 2011

Plastic and Reconstructive Surgery

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“…This is followed by the fixation of orbital rim using screws. 16 It has been reported, however, that it produces complications caused by a mesh plate, such as orbital adherence syndrome. 17 Currently, there are no appropriate methods for fixing the implant in patients with medial orbital wall fracture.…”

Section: Discussionmentioning

confidence: 98%

Medpor Implant Fixation Using Fibrin Glue in the Treatment of Medial Orbital Wall Fracture

Kang¹,

Song

Kyung

et al. 2015

Journal of Craniofacial Surgery

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The optimal treatment modalities are determined based on the symptoms and degree of the bone defects in patients with medial orbital wall blowout fracture. Most of the patients in this series underwent implant surgery. However, there are many patients whose implants were not fixed during surgery. Therefore, some patients who had implant migration occurred had been reported. We have therefore used methods for applying fibrin glue (Tisseel, Baxter Healthcare, Norfolk, United Kingdom) for the fixation of implant. Between 2007 and 2013, a total of 168 patients underwent porous polyethylene orbital implant (Medpor) surgery with the application of Tisseel. All the patients underwent surgical treatments via a transcaruncular approach, for which the Medpor was used. Postoperative complications include 6 cases of the limitation of extraoccular movement, 10 cases of diplopia, and 7 cases of enophthalmos. However, there were no specific complications caused by Tisseel. All the patients were satisfied with the treatment outcomes. In this study, we report the usefulness of Tisseel in the fixation of the medial orbital wall fracture using the Medpor implant with a review of literatures.

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“…22,23,27 It is biocompatible and integrates into adjacent bone, limiting migration. 28 Titanium is easily visualized in postoperative imaging with little scatter, allowing confirmation of placement, as well as confidence in postoperative evaluation of clinical findings. 28 Use of titanium is associated with decreased overall cost because of the reduced operative time and equipment.…”

Section: Discussionmentioning

confidence: 99%

Orbital Floor Fractures

Kirby¹,

Turner²,

Davenport³

et al. 2011

Annals of Plastic Surgery

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Since the 1950s, myriad materials have been used to reconstruct orbital floor fractures. Technological advances have afforded new materials for reconstruction. Recent comparisons of materials have not been reported. Retrospective chart review was performed using current procedural terminology coding for orbital floor fractures treated between 1991 and 2009. A total of 510 charts were reviewed; 317 adult patients met criteria. Forty-seven of these patients underwent bilateral floor explorations, yielding 364 orbital floor fractures. Mean age was 33.7 years. Motor vehicle collision, assault, all-terrain vehicles, and falls constituted the majority of injury mechanisms. Impure blowouts were the most common fracture type, and zygomaticomaxillary complex fractures were the most common pattern. Materials included autologous bone, porous polyethylene, titanium, and porous polyethylene with incorporated titanium. Use of bone graft correlated with postoperative orbital dystopia and enophthalmos, as compared with alloplastic implants. Bone rigidity, unpredictable thickness, and resorption may contribute. Once the gold standard of orbital reconstruction, autologous bone may have been eclipsed by modern materials.

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Use of Porous Polyethylene With Embedded Titanium in Orbital Reconstruction: A Review of 106 Patients

Abstract: Porous polyethylene implants with embedded titanium provide a new alternative to alloplastic implant materials for orbital reconstruction with a profile that combines several advantages of porous polyethylene and titanium implants.

Cited by 67 publications

References 28 publications

Facial Fractures

Facial Fractures

Medpor Implant Fixation Using Fibrin Glue in the Treatment of Medial Orbital Wall Fracture

Orbital Floor Fractures

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