Kyung Min Lee1, Ji Ung Park2, Sung Tack Kwon1, Suk Wha Kim1, Eui Cheol Jeong2. 1. Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. 2. 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.
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.
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.
Entities:
Keywords:
Enophthalmos; Orbital fractures; Orbital implant
Authors: Andy C O Cheng; Peter W Lucas; Hunter K L Yuen; Dennis S C Lam; Kwok-Fai So Journal: Ophthalmic Plast Reconstr Surg Date: 2008 Mar-Apr Impact factor: 1.746
Authors: M C Metzger; R Schön; R Tetzlaf; N Weyer; A Rafii; N-C Gellrich; R Schmelzeisen Journal: Int J Oral Maxillofac Surg Date: 2006-12-20 Impact factor: 2.789
Authors: E Bradley Strong; Scott C Fuller; David F Wiley; Janina Zumbansen; M D Wilson; Marc C Metzger Journal: Otolaryngol Head Neck Surg Date: 2013-03-12 Impact factor: 3.497
Authors: Nathan W Blessing; Andrew J Rong; Brian C Tse; Benjamin P Erickson; Bradford W Lee; Thomas E Johnson Journal: Ophthalmic Plast Reconstr Surg Date: 2021 May-Jun 01 Impact factor: 2.011