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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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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.
Cureus
|March 3, 2023
Summary
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.
