Orbital roof reconstruction using porous polyethylene sheet with embedded titanium

Area of Science:

• Neurosurgery
• Ophthalmology
• Plastic Surgery

Background:

• Calvarial defects, particularly orbital roof defects, necessitate prompt reconstruction to prevent complications like enophthalmos and diplopia.
• Traditional reconstruction methods include autologous bone grafts and alloplastic materials.

Purpose of the Study:

• To evaluate the efficacy and safety of using a porous polyethylene sheet with embedded titanium for orbital roof reconstruction.
• To assess patient satisfaction and surgical outcomes.

Main Methods:

• Five patients with orbital roof defects underwent reconstruction using a porous polyethylene sheet with embedded titanium.
• The material was shaped to fit the defect and secured with microplates, sometimes in combination with calvarial bone grafts.
• Indications included tumor excision (1 patient) and trauma (4 patients), with associated supraorbital rim defects in 3 patients.

Main Results:

• No complications were reported during the follow-up period.
• Patients expressed high satisfaction with the aesthetic outcomes.
• The procedure was noted to be straightforward and time-efficient.

Conclusions:

• Porous polyethylene sheet with embedded titanium is a viable option for orbital roof reconstruction.
• This method offers satisfactory cosmetic results and a favorable safety profile.
• The technique is easy to perform and efficient, making it a valuable reconstructive tool.