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A Comparison of Endoscopic Reduction for Medial Blowout Fractures Using a Bioresorbable Panel and Silastic Sheet

Joo Yeon Kim1, Tae Young Jung2, Jae Hwan Kwon1

  • 1Department of Otolaryngology Head-Neck Surgery, Kosin University College of Medicine.

The Journal of Craniofacial Surgery
|January 22, 2019
PubMed
Abstract

Insights

A bioresorbable panel offers a promising alternative for endoscopic endonasal reduction of medial orbital wall blowout fractures, showing fewer complications and better outcomes than silastic sheet splints.

Area of Science:

  • Ophthalmology
  • Otorhinolaryngology
  • Medical Engineering

Background:

  • Medial orbital wall blowout fractures present complex reconstructive challenges.
  • Endoscopic endonasal reduction is a minimally invasive surgical approach.
  • Comparing novel bioresorbable materials with traditional silastic implants is crucial for optimizing outcomes.

Purpose of the Study:

  • To compare the effectiveness of endoscopic endonasal reduction for medial orbital wall blowout fractures.
  • To evaluate surgical outcomes and postoperative complications between bioresorbable panels and silastic sheet splints with Merocel packing.
  • To determine the optimal interposition material for endoscopic medial orbital wall fracture repair.

Main Methods:

  • Retrospective comparative study of 147 patients with medial orbital wall blowout fractures.
  • Group 1: 57 fractures repaired with silastic sheet and Merocel splint.
  • Group 2: 90 fractures repaired with bioresorbable panel interposition.

Main Results:

  • The bioresorbable panel group showed significantly fewer cases of under- or overcorrection (9/90 vs. 20/57, P<0.05).
  • Sinusitis occurred less frequently in the bioresorbable panel group (0/90 vs. 7/57, P<0.05).
  • Implant extrusion occurred in 4 cases in the bioresorbable panel group; no implant-related side effects were noted in the silastic group.

Conclusions:

  • Endoscopic endonasal reduction using a bioresorbable panel is an effective treatment for medial orbital blowout fractures.
  • Bioresorbable panels demonstrate a favorable safety profile and reduce postoperative complications compared to silastic splints.
  • This approach offers a viable surgical alternative for medial orbital wall reconstruction.

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