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Updated: May 28, 2025

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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Reconstruction of Infraorbital Floor using Marlex Mesh through Intraoral Vestibular Approach using Endoscope for
M N Bhaskar1, U B Shabari2, Shruti G Raikar3
1Department of Otorhinolaryngology ENT, Kannachur Institute of Medical Sciences, Deralakatte, Mangalore, Karnataka, India.
Journal of Pharmacy & Bioallied Sciences
|February 10, 2025
Summary
This study presents a conservative approach for repairing zygomaticomaxillary (ZMC) fractures using endoscopy and Marlex mesh. This method offers a viable option for treating common facial fractures resulting from road traffic accidents.
Area of Science:
- Maxillofacial surgery
- Trauma surgery
- Endoscopic surgery
Background:
- Infraorbital floor fractures are frequent injuries from road traffic accidents.
- Various surgical techniques and materials exist for fracture repair.
- Zygomaticomaxillary (ZMC) fractures require effective treatment strategies.
Purpose of the Study:
- To discuss a conservative endoscopic approach for ZMC fracture repair.
- To evaluate the use of Marlex mesh as a repair material.
- To highlight the advantages of this combined surgical approach.
Main Methods:
- A case series detailing the endoscopic repair of ZMC fractures.
- Utilized Marlex mesh for reconstruction of the infraorbital floor.
- Described the surgical procedure and material selection.
Main Results:
- The endoscopic approach facilitated a conservative repair.
- Marlex mesh proved to be a suitable material for ZMC fracture repair.
- The combination offered specific advantages in managing these fractures.
Conclusions:
- Endoscopic repair with Marlex mesh is a feasible conservative option for ZMC fractures.
- This technique provides a minimally invasive method for infraorbital floor reconstruction.
- The selected approach and material offer benefits in managing facial trauma.

