Related Experiment Video
Updated: Aug 8, 2025
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Pediatric Orbital Floor Reconstruction Using a Nonresorbable Polypropylene-Based Hernia Mesh: A Case Report
Gauri Sharma1, Deepankar Shukla1, Nitin D Bhola1
1Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Insights
A white-eyed orbital floor fracture in a child was successfully repaired using polypropylene mesh. This nonresorbable material offers a viable option for pediatric orbital reconstruction.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Biomaterials Science
Background:
- Orbital floor fractures are common in children, with
- white-eyed
- blowout fractures lacking typical signs.
- Titanium mesh is a popular reconstructive material.
- Inferior rectus muscle entrapment can cause restricted eye movement.
Observation:
- A 10-year-old boy presented with a left-sided white-eyed orbital floor fracture after trauma.
- Symptoms included diplopia and restricted upward gaze in the left eye.
- Inferior rectus muscle entrapment was suspected.
Findings:
- Orbital floor reconstruction was performed using a nonresorbable polypropylene hernia mesh.
- The procedure successfully addressed the orbital defect and muscle entrapment.
Implications:
- Nonresorbable polypropylene mesh is effective for orbital defect reconstruction in pediatric patients.
- Further research is needed to evaluate long-term outcomes and benefits of polypropylene materials in orbital reconstruction.
Abstract:
Orbital floor fracture is the most common type of orbit-related injury seen in pediatric age groups. It is also called a white-eyed blowout fracture when the usual signs of orbital fracture-periorbital edema, ecchymosis, and subconjunctival hemorrhage are absent. Several materials are used for orbital defect reconstruction. The most popular and widely used material is titanium mesh. We present a case of a 10-year-old boy with a white-eyed blowout fracture of the floor of the orbit of the left side. The patient had a history of trauma, after which he developed diplopia in the left eye. On examination, his upward gaze was restricted in the left eye, which was suggestive of inferior rectus muscle entrapment. The orbital floor reconstruction was done using a hernia mesh made up of nonresorbable polypropylene material. This case demonstrates the utility of nonresorbable materials in orbital defect reconstruction in pediatric patients. Further studies are needed to better understand the scope of polypropylene-based materials in the floor of orbit reconstruction and their benefits and shortcomings in the long run.
