CC BY-NC 4.0 · Arch Plast Surg 2014; 41(05): 480-485
DOI: 10.5999/aps.2014.41.5.480
Original Article

Three-Dimensional Pre-Bent Titanium Implant for Concomitant Orbital Floor and Medial Wall Fractures in an East Asian Population

Kyung Min Lee
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
,
Ji Ung Park
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea
,
Sung Tack Kwon
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
,
Suk Wha Kim
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
,
Eui Cheol Jeong
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea
› Institutsangaben

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.

The authors wish to thank Dr. Aram Harijan for his assistance with the use of English in this manuscript.




Publikationsverlauf

Eingereicht: 30. September 2013

Angenommen: 18. Dezember 2013

Artikel online veröffentlicht:
05. Mai 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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  • References

  • 1 Chen CT, Chen YR. Update on orbital reconstruction. Curr Opin Otolaryngol Head Neck Surg 2010; 18: 311-316
  • 2 He Y, Zhang Y, An JG. Correlation of types of orbital fracture and occurrence of enophthalmos. J Craniofac Surg 2012; 23: 1050-1053
  • 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: 1108-1113
  • 4 Cole P, Boyd V, Banerji S. et al. Comprehensive management of orbital fractures. Plast Reconstr Surg 2007; 120: 57S-63S
  • 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: 36-39
  • 6 Bratton EM, Durairaj VD. Orbital implants for fracture repair. Curr Opin Ophthalmol 2011; 22: 400-406
  • 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: 60-66
  • 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
  • 9 Cheng AC, Lucas PW, Yuen HK. et al. Surgical anatomy of the Chinese orbit. Ophthal Plast Reconstr Surg 2008; 24: 136-141
  • 10 Nagasao T, Hikosaka M, Morotomi T. et al. Analysis of the orbital floor morphology. J Craniomaxillofac Surg 2007; 35: 112-119
  • 11 Lee HB, Nunery WR. Orbital adherence syndrome secondary to titanium implant material. Ophthal Plast Reconstr Surg 2009; 25: 33-36
  • 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