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Orbital wall restoring surgery with resorbable mesh plate.

Jae Doo Joo1, Dong Hee Kang1, Hyon Surk Kim1

  • 1Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Korea.

Archives of Craniofacial Surgery
|October 19, 2018
PubMed
Summary

Resorbable mesh plates are effective for orbital floor restoration surgery, reducing implant complications. This technique is safe and suitable for restoring orbital volume and contour.

Keywords:
EnophthalmosOrbital wall fracturesResorbable mesh plate

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Biomaterials Science

Background:

  • Orbital resorbable mesh plates are suitable for isolated orbital fractures but not for large fractures requiring load-bearing support.
  • Previous techniques involved transnasal approaches with temporary extraorbital support to reduce implant load.
  • Resorbable implants are appropriate for orbital wall restoring techniques that minimize stress on the implant.

Purpose of the Study:

  • To evaluate the efficacy and safety of using resorbable mesh plates in transnasal orbital floor restoration surgery.
  • To assess the impact of this technique on orbital volume and ocular prominence.

Main Methods:

  • Retrospective review of 31 patients with pure unilateral orbital floor fractures.
  • Transnasal restoration using resorbable mesh plates and temporary balloon support.
  • Evaluation via Hertel scale and orbital volume ratio (OVR) comparison.

Main Results:

  • Significant decrease in OVR (average 6.01%) and Hertel scale measurements (average 0.34 mm).
  • No instances of implant buckling or sagging were reported.
  • All procedures demonstrated statistical significance (p<0.05).

Conclusions:

  • Resorbable mesh plates are effective and safe for orbital floor restoration.
  • This technique minimizes implant deformation and complications associated with permanent implants.
  • The transnasal approach with resorbable plates offers a viable solution for orbital wall reconstruction.