Orbital Floor Reconstruction with Titanium Mesh;
نویسنده
چکیده
.. Objective: To determine the outcome of orbital floor reconstruction with titanium mesh in terms of diplopia, enophthalmos, dystopia and infection etc. Study design: Descriptive case series. Place & duration of study: Department of Oral & Maxillofacial Surgery, Punjab Medical College / Allied Hospital Faisalabad. One and Half year from 01-10-12 to 31-03-14. Material and Method: Twenty two patients clinically and radiographically having defect in the orbital floor due to trauma were included in the study. Titanium mesh was used to reconstruct the orbital floor through infraorbital rim incision and secured in place with 5mm micro screws. The variables to be analyzed were diplopia, enophthalmos, orbital dystopia and infection. Results: In our study male gender predominates over female 20/22. Mean age of patients is 29.36 years ± 5.21. Diplopia persisted in 2/10 (20%) patients. Enophthalmos persisted in 7/18 (38.8%) patients. dystopia persisted in 1⁄4 (25%) patients. Infection didn’t develop in any of our patient (0%). Visual acuity was not affected in any of the patient (0%). Conclusions: Titanium mesh is a suitable material for reconstruction of orbital floor fractures with little complication rate and no donor site morbidity.
منابع مشابه
Preformed vs intraoperative bending of titanium mesh for orbital reconstruction.
OBJECTIVE The most accurate orbital reconstructions result from an anatomic repair of the premorbid orbital architecture. Many different techniques and materials have been used; unfortunately, there is currently no optimal method. This study compares the use of preformed vs intraoperative bending of titanium mesh for orbital reconstruction in 2-wall orbital fractures. STUDY DESIGN Cadaver-bas...
متن کاملOrbital floor fractures: a retrospective review of 45 cases at a tertiary health care center.
The purpose of this retrospective study was to investigate treatment options for orbital floor fractures at a Level 1 Trauma Center in Southern California. A review of 45 cases of isolated orbital floor fractures treated at the University of California at Irvine between February 2004 and April 2007 was done. Patients were retrospectively analyzed for gender, age, mechanism of injury, associated...
متن کاملReconstruction of a maxillary defect with a fibula graft and titanium mesh using CAD/CAM techniques.
We present a case of maxillary and orbital floor reconstruction with a microvascular fibula graft and an individualized titanium mesh. Both were planned virtually; templates were made by rapid prototyping. The postoperative computer tomography scans showed that the planned positions were achieved correctly. This case report illustrates maxillary reconstruction performed with a special template ...
متن کاملUse of a Titanium Mesh Plate with High Three-Dimensional Flexibility to Repair an Orbital Floor Fracture: Clinical Note
Orbital blowout fractures are common sequelae of facial trauma. For their treatment, it is now possible to make three-dimensional (3D) implants on the basis of computed tomography (CT) images, using rapid prototyping and to bend the implants preoperatively in the desired shape. However, in orbital fracture, the unique anatomy of the orbit makes the process of fitting and aligning such implants ...
متن کاملComparative Study of Enophthalmos Treatment with Titanium Mesh Combined with Absorbable Implant vs. Costochondral Graft for Large Orbital Defects in Floor Fractures
Introduction: Several treatment options are available for the optimal treatment for orbital fractures, depending on aesthetic and functional results after orbital wall reconstruction. The objective of this study is to compare the effect and safety of large orbital fl oor fractures with titanium mesh combined with poly-L-lactic acid/polyglycolic acid copolymer implants (Lactosorb®) vs. autologou...
متن کامل