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Related Concept Videos

Atomic Orbitals02:44

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An atomic orbital represents the three-dimensional regions in an atom where an electron has the highest probability to reside. The radial distribution function indicates the total probability of finding an electron within the thin shell at a distance r from the nucleus. The atomic orbitals have distinct shapes which are determined by l, the angular momentum quantum number. The orbitals are often drawn with a boundary surface, enclosing densest regions of the cloud.
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Three-Dimensional Reconstruction of Orbital Fractures
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Resorbable Implants for Orbital Fractures: A Systematic Review.

Sathyadeepak Ramesh, Sasha Hubschman1, Robert Goldberg

  • 1University of Miami Miller School of Medicine, Miami, FL.

Annals of Plastic Surgery
|June 1, 2018
PubMed
Summary

Resorbable implants are suitable for orbital reconstruction, offering barrier support for isolated fractures. However, their limited tensile strength and potential complications like inflammation necessitate careful selection for specific orbital injuries.

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Area of Science:

  • Biomaterials Science
  • Ophthalmology
  • Plastic Surgery

Background:

  • Orbital fractures are common injuries resulting from facial trauma.
  • Reconstruction often involves implants to restore orbital integrity and function.

Purpose of the Study:

  • To review and synthesize data on resorbable implants used in orbital reconstruction.
  • To evaluate polymer characteristics, degradation, osteoconductivity, and associated complications.

Main Methods:

  • A comprehensive literature search was conducted using PubMed with the keyword "resorbable orbital implant."
  • Twenty-seven studies were critically reviewed and data strength assessed using Oxford Centre criteria.

Main Results:

  • Most resorbable implants offer adequate strength for up to 6 months, suitable for orbital floor/medial wall fractures but not load-bearing areas.
  • Thicker implants (>1 mm) correlate with higher risks of delayed inflammation.
  • Complications include delayed inflammation, eyelid malposition, enophthalmos, diplopia, infection, and infraorbital nerve hypesthesia, with specific polymers showing increased risks for certain adverse events.

Conclusions:

  • Resorbable implants are appropriate for isolated orbital medial wall or floor fractures when bony buttresses are intact.
  • These implants primarily serve as a barrier, not for load-bearing support in orbital reconstruction.