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Orbital floor repair with titanium mesh screen
D J Mackenzie1, B Arora, J Hansen
1Division of Plastic and Reconstructive Surgery, Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd., Mail Code L352A, Portland, OR 97201, USA. mackenzi@ohsu.edu
The Journal of Cranio-Maxillofacial Trauma
|April 16, 2002
Summary
Titanium mesh implants offer a simple and reliable alternative for orbital floor fracture repair, eliminating the need for routine bone grafting. This method effectively restores orbital function and appearance.
Area of Science:
- Ophthalmology
- Plastic and Reconstructive Surgery
- Biomaterials Engineering
Background:
- Orbital floor fractures require surgical repair to restore function and aesthetics.
- Current repair methods utilize autologous bone grafts or synthetic substitutes.
- An alternative approach using titanium mesh implants is presented.
Purpose of the Study:
- To evaluate the efficacy of titanium mesh screen implants for orbital floor fracture repair.
- To compare outcomes between different surgical approaches for orbital reconstruction.
Main Methods:
- Fifty-one orbital floor fractures in 43 patients were treated with titanium mesh implants.
- A transconjunctival approach with lateral canthotomy was compared to the subciliary approach.
- Bone grafting was selectively used in conjunction with mesh in three cases.
Main Results:
- The transconjunctival approach resulted in fewer complications, such as scleral show and ectropion, compared to the subciliary approach.
- One patient experienced ectropion and another developed enophthalmos post-surgery.
- Follow-up averaged 9 months for 42 repaired orbits.
Conclusions:
- Titanium mesh implants are a simple, reliable, and effective option for orbital floor reconstruction.
- Routine bone grafting is not necessary, even for large orbital floor defects.
- The transconjunctival approach is preferred over the subciliary approach for reduced complications.