Assessing the Adequacy of Orbital Reconstruction With Titanium Mesh Using Clinical and Radiological Measures

Area of Science:

• Ophthalmology
• Plastic Surgery
• Radiology

Background:

• Orbital reconstruction is crucial for restoring orbit volume and correcting issues like diplopia and enophthalmos after fractures.
• Assessing reconstruction adequacy requires evaluating both radiological and clinical factors.

Purpose of the Study:

• To evaluate the effectiveness of orbital reconstruction in blowout fractures.
• To assess the adequacy of reconstruction using radiological and clinical parameters.

Main Methods:

• Retrospective study of patients with orbital blowout fractures treated with titanium mesh.
• Pre- and post-operative computed tomography (CT) scans to measure orbital volume and displacement.
• Clinical evaluation including diplopia, ocular motility, and infraorbital nerve function.

Main Results:

• Significant reduction in orbital volume difference between fractured and normal orbits post-surgery (p < 0.001).
• Mean volume difference of 0.55 cm³ achieved, within normal anatomic variation.
• Radiological correction of enophthalmos and posterior displacement; infraorbital nerve hypoesthesia persisted.

Conclusions:

• CT-guided orbital reconstruction with titanium mesh successfully restores orbital volume to near-normal anatomical variation.
• The procedure improves clinical outcomes by correcting enophthalmos and restoring orbital integrity.