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Related Experiment Videos

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
PubMed
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.

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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.

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  • 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.