대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제19권4호
  • /
  • Pages.264-269
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  • 2018
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Orbital wall restoring surgery with resorbable mesh plate

  • Joo, Jae Doo (Department of Plastic and Reconstructive Surgery, Dankook University Hospital) ;
  • Kang, Dong Hee (Department of Plastic and Reconstructive Surgery, Dankook University Hospital) ;
  • Kim, Hyon Surk (Department of Plastic and Reconstructive Surgery, Dankook University Hospital)
  • 투고 : 2018.06.18
  • 심사 : 2018.09.17
  • 발행 : 2018.12.20
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초록

Background: Orbital resorbable mesh plates are adequate to use for isolated floor and medial wall fractures with an intact bony buttress, but are not recommended to use for large orbital wall fractures that need load bearing support. The author previously reported an orbital wall restoring surgery that restored the orbital floor to its prior position through the transnasal approach and maintained temporary extraorbital support with a balloon in the maxillary sinus. Extraorbital support could reduce the load applied on the orbital implants in orbital wall restoring surgery and the use of resorbable implants was considered appropriate for the author's orbital wall restoring technique. Methods: A retrospective review was conducted of 31 patients with pure unilateral orbital floor fractures between May 2014 and May 2018. The patients underwent transnasal restoration of the orbital floor through insertion of a resorbable mesh plate and maintenance of temporary balloon support. The surgical results were evaluated by the Hertel scale and a comparison of preoperative and postoperative orbital volume ratio (OVR) values. Results: The OVR decreased significantly, by an average of 6.01% (p<0.05) and the preoperative and postoperative Hertel scale measurements decreased by an average of 0.34 mm with statistical significance (p<0.05). No complications such as buckling or sagging of the implant occurred among the 31 patients. Conclusion: The use of resorbable mesh plate in orbital floor restoration surgery is an effective and safe technique that can reduce implant deformation or complications deriving from the residual permanent implant.

키워드

참고문헌

  1. Aryasit O, Ng DS, Goh AS, Woo KI, Kim YD. Delayed onset porous polyethylene implant-related inflammation after orbital blowout fracture repair: four case reports. BMC Ophthalmol 2016;16:94. https://doi.org/10.1186/s12886-016-0287-0
  2. Yilmaz M, Vayvada H, Aydin E, Menderes A, Atabey A. Repair of fractures of the orbital floor with porous polyethylene implants. Br J Oral Maxillofac Surg 2007;45:640-4. https://doi.org/10.1016/j.bjoms.2007.06.004
  3. Ramesh S, Hubschman S, Goldberg R. Resorbable implants for orbital fractures: a systematic review. Ann Plast Surg 2018;81: 372-9. https://doi.org/10.1097/SAP.0000000000001504
  4. Al-Sukhun J, Tornwall J, Lindqvist C, Kontio R. Bioresorbable poly-L/DL-lactide (P[L/DL]LA 70/30) plates are reliable for repairing large inferior orbital wall bony defects: a pilot study. J Oral Maxillofac Surg 2006;64:47-55.
  5. Losken HW, van Aalst JA, Mooney MP, Godfrey VL, Burt T, Teotia S, et al. Biodegradation of Inion fast-absorbing biodegradable plates and screws. J Craniofac Surg 2008;19:748-56. https://doi.org/10.1097/SCS.0b013e31816aab24
  6. You JP, Kim DW, Jeon BJ, Jeong SH, Han SK, Dhong ES, et al. Two-year follow-up on the use of absorbable mesh plates in the treatment of medial orbital wall fractures. Arch Plast Surg 2013;40:728-34. https://doi.org/10.5999/aps.2013.40.6.728
  7. Lim NK, Kang DH, Oh SA, Gu JH. Orbital wall restoring surgery in pure blowout fractures. Arch Plast Surg 2014;41:686-92. https://doi.org/10.5999/aps.2014.41.6.686
  8. Potter JK, Ellis E. Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg 2004;62:1280-97. https://doi.org/10.1016/j.joms.2004.04.018
  9. Converse JM, Smith B, Obear MF, Wood-Smith D. Orbital blowout fractures: a ten-year survey. Plast Reconstr Surg 1967; 39:20-36. https://doi.org/10.1097/00006534-196701000-00002
  10. Smith JD, Abramson M. Membranous vs endochondrial bone autografts. Arch Otolaryngol 1974;99:203-5. https://doi.org/10.1001/archotol.1974.00780030211011
  11. Lin KY, Bartlett SP, Yaremchuk MJ, Fallon M, Grossman RF, Whitaker LA. The effect of rigid fixation on the survival of onlay bone grafts: an experimental study. Plast Reconstr Surg 1990;86:449-56. https://doi.org/10.1097/00006534-199009000-00010
  12. Lee HB, Nunery WR. Orbital adherence syndrome secondary to titanium implant material. Ophthalmic Plast Reconstr Surg 2009;25:33-6. https://doi.org/10.1097/IOP.0b013e3181929b6e
  13. Kim YJ, Choi SH, Jun YJ, Seo BC. Open reduction in trapdoortype blowout fractures using absorbable mesh plates. J Craniofac Surg 2011;22:2263-7.
  14. Hwang WJ, Lee DH, Choi W, Hwang JH, Kim KS, Lee SY. Analysis of orbital volume measurements following reduction and internal fixation using absorbable mesh plates and screws for patients with orbital floor blowout fractures. J Craniofac Surg 2017;28:1664-9. https://doi.org/10.1097/SCS.0000000000003730
  15. Hwang K, Kim DH. Comparison of the supporting strength of a poly-L-lactic acid sheet and porous polyethylene (Medpor) for the reconstruction of orbital floor fractures. J Craniofac Surg 2010;21:847-53. https://doi.org/10.1097/SCS.0b013e3181d7f2ff
  16. Oh SA, Aum JH, Kang DH, Gu JH. Change of the orbital volume ratio in pure blow-out fractures depending on fracture location. J Craniofac Surg 2013;24:1083-7. https://doi.org/10.1097/SCS.0b013e31828b6c2d
  17. Miller RA, Brady JM, Cutright DE. Degradation rates of oral resorbable implants (polylactates and polyglycolates): rate modification with changes in PLA/PGA copolymer ratios. J Biomed Mater Res 1977;11:711-9. https://doi.org/10.1002/jbm.820110507

피인용 문헌

  1. Orbital wall restoring surgery with primary orbital wall fragments in blowout fracture vol.20, pp.6, 2018, https://doi.org/10.7181/acfs.2019.00724