Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Three-Dimensional Pre-Bent Titanium Implant for Concomitant Orbital Floor and Medial Wall Fractures in an East Asian Population

  • Lee, Kyung Min (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Park, Ji Ung (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kwon, Sung Tack (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Kim, Suk Wha (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine) ;
  • Jeong, Eui Cheol (Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine)
  • Received : 2013.09.30
  • Accepted : 2013.12.18
  • Published : 2014.09.15
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Abstract

Background The objective of this article is to evaluate clinical outcomes of combined orbital floor and medial wall fracture repair using a three-dimensional pre-bent titanium implant in an East Asian population. Methods Clinical and radiologic data were analyzed for 11 patients with concomitant orbital floor and medial wall fractures. A combined transcaruncular and inferior fornix approach with lateral canthotomy was used for the exposure of fractures. An appropriate three-dimensional preformed titanium implant was selected and inserted according to the characteristics of a given defect. Results Follow-up time ranged from 2 to 6 months (median, 4.07 months). All patients had a successful treatment outcome without any complications. Clinically significant enophthalmos was not observed after treatment. Conclusions Three-dimensional pre-bent titanium implants are appropriate for use in the East Asian population, with a high success rate of anatomic restoration of the orbital volume and prevention of enophthalmos in combined orbital floor and medial wall fracture cases.

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References

  1. Chen CT, Chen YR. Update on orbital reconstruction. Curr Opin Otolaryngol Head Neck Surg 2010;18:311-6. https://doi.org/10.1097/MOO.0b013e32833aafd2
  2. He Y, Zhang Y, An JG. Correlation of types of orbital fracture and occurrence of enophthalmos. J Craniofac Surg 2012;23:1050-3. https://doi.org/10.1097/SCS.0b013e3182564ef3
  3. Scolozzi P, Momjian A, Heuberger J, et al. Accuracy and predictability in use of AO three-dimensionally preformed titanium mesh plates for posttraumatic orbital reconstruction: a pilot study. J Craniofac Surg 2009;20:1108-13. https://doi.org/10.1097/SCS.0b013e3181abb44b
  4. Cole P, Boyd V, Banerji S, et al. Comprehensive management of orbital fractures. Plast Reconstr Surg 2007;120:57S-63S. https://doi.org/10.1097/01.prs.0000260752.20481.b4
  5. Ahn HB, Ryu WY, Yoo KW, et al. Prediction of enophthalmos by computer-based volume measurement of orbital fractures in a Korean population. Ophthal Plast Reconstr Surg 2008;24:36-9. https://doi.org/10.1097/IOP.0b013e31815eb7ce
  6. Bratton EM, Durairaj VD. Orbital implants for fracture repair. Curr Opin Ophthalmol 2011;22:400-6. https://doi.org/10.1097/ICU.0b013e3283499409
  7. Strong EB, Fuller SC, Wiley DF, et al. Preformed vs intraoperative bending of titanium mesh for orbital reconstruction. Otolaryngol Head Neck Surg 2013;149:60-6. https://doi.org/10.1177/0194599813481430
  8. Metzger MC, Schon R, Tetzlaf R, et al. Topographical CT-data analysis of the human orbital floor. Int J Oral Maxillofac Surg 2007;36:45-53. https://doi.org/10.1016/j.ijom.2006.07.013
  9. Cheng AC, Lucas PW, Yuen HK, et al. Surgical anatomy of the Chinese orbit. Ophthal Plast Reconstr Surg 2008;24:136-41. https://doi.org/10.1097/IOP.0b013e31816704f5
  10. Nagasao T, Hikosaka M, Morotomi T, et al. Analysis of the orbital floor morphology. J Craniomaxillofac Surg 2007;35:112-9. https://doi.org/10.1016/j.jcms.2006.12.002
  11. Lee HB, Nunery WR. Orbital adherence syndrome secondary to titanium implant material. Ophthal Plast Reconstr Surg 2009;25:33-6. https://doi.org/10.1097/IOP.0b013e3181929b6e
  12. Kersey TL, Ng SG, Rosser P, et al. Orbital adherence with titanium mesh floor implants: a review of 10 cases. Orbit 2013;32:8-11. https://doi.org/10.3109/01676830.2012.736597

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