Reconstruction of orbital floor fracture using porous polyethylene mesh
Keywords:
Blow out fracture, Orbital floor fracture, Nonresorbable implant, Porous polyethylene membrane
Abstract
Objective: Treatment of traumatic orbital injury has long been a formidable challenge to maxillofacial and oculoplastic surgeon. Significant complication can occur as a result of these injuries including enopthalmus, persistent diplopia, vertical dystopia and restriction of gaze. Surgical techniques have been more aggressive with primary surgical repair directed at restoring bony orbital volume and contour while repositioning the herniated tissues. The study was undertaken to assess the treatment results with alloplastic graft for reconstruction of orbital floor.
Material and methods: It is a prospective randomized study during the period of January 2010 to December 2012 including the follow up of six months on ten orbital floor fractures.
Results: Eyeball movement restriction and infraorbital nerve paresthesia improved in all patients. One patient who also had associated head injury and the fracture of supraorbital rim, frontal and temporal bone had persistent enopthalmus, vertical dystopia and diplopia postoperatively.
Conclusion: We conclude that early exploration of orbital floor minimizes the morbity associated with late reconstruction due to the fibrosis of tissues entrapped. Use of prolene mesh reduces the operating time and donor site morbidity.
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References
1. Chang E.W., Manolidi S. Orbital Floor Fracture Management. Facial Plastic Surgery2005, 21(3) 207-213
2. Potter JK, Ellis E. Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg. 2004 Oct; 62(10):1280-97
3. Villarreal PM, Monje F, Morillo AJ, Junquera LM, González C, Barbón JJ. Porous polyethylene implants in orbital floor reconstruction. Plast Reconstr Surg. 2002 Mar; 109(3):877-85
4. Smith B, Regan WF. Blowout fracture of the orbit; mechanism and correction of internal orbital fracture. Am j opthalmol 1957; 44(6):733-739
5. Putterman AM, Stevens T, Urist MJ. Nonsurgical management of blow out fracture of the orbital floor. Am j opthalmol 1974; 77(2):232-239
6. Burnstine MA. Indications and timing for repair of isolated orbital floor fractures: an evidence-based analysis, Ophthalmology. 2002; 109(7): 1207-1213.
7. Courtney DJ, Thomas S, Whitfield PH. Isolated orbital blowout fractures: Survey and review. Br J Oral Maxillofac Surg. 2000; 38:496–503.
8. Chowdhury K, Krause GF. Selection of materials for orbital floor reconstruction. Arch Otolaryngol Head Neck Surg. 1998; 124:1398–401.
9. Kakibuchi M, Fukuda K, Yamada N, et al. A simple method for harvesting a thin iliac bone graft for reconstruction of the orbital wall. Plast Reconstr Surg. 2003; 111:961–2
10. Young VL, Schuster RH, Harris LW. Intracerebral hematoma complicating split calvarial bone-graft harvesting. Plast Reconstr Surg. 1990; 86:763–5
11. Kline RM, Jr, Wolfe SA. Complications associated with the harvesting of cranial bone grafts. Plast Reconstr Surg. 1995; 95:5–20.
12. Kraus M, Gatot A, Fliss D. Repair of traumatic inferior orbital wall defects with nasoseptal cartilage.J Oral Maxillofac Surg. 2001; 59:1397–401.
13. Constantian MB. Use of auricular cartilage in orbital floor reconstruction. Plast Reconstr Surg.1982; 69:951–5.
14. Dost P. [Orbital floor reconstruction with autologous periosteum transplant] Laryngorhinootologie.1996; 75:57–8
15. Morax S, Hurbli T, Smida R. Bovine heterologous bone graft in orbital surgery. Ann Chir Plast Esthet. 1993; 38(4):445–50.
16. Neigel JM, Ruzicka PO. Use of demineralised bone implants in orbital and craniofacial reconstruction and a review of the literature. Ophthal Plast Reconstr Surg. 1996; 12(2):108–20.
17. Campbell DG, Li P. Sterilization of HIV with irradiation: Relevance to infected bone allografts. Aust N Z J Surg. 1999; 69(7):517–21.
18. Nakumura Y, Aso E, Yanagawa H. Relative risk of Creutzfeldt-Jakob disease with cadaveric dura transplantation in Japan. Neurology. 1999; 53(1):218–20
19. Hollier LH, Rogers N, Berzin E, Stal S. Resorbable mesh in the treatment of orbital floor fractures. J Craniofac Surg. 2001; 12(3):242–6.
20. Gear AJ, Lokeh A, Aldridge JH, Migliori MR, Benjamin CI, and Schubert W. Safety of titanium mesh for orbital reconstruction. Ann Plast Surg. 2002; 48(1):1–9.
21. Laxenaire A, Levy J, Blanchard P, Lerondeau JC, Tesnier F, Scheffer P. Complications of silastic implants used in orbital repair. Rev Stomatol Chir Maxillofac. 1997; 98(1):96–9
22. Mok D, Lessard L, Cordoba C, Harris PG, and Nikolis A.A review of materials currently used in orbital floor reconstruction Can J Plast Surg. 2004; 12(3): 134–140.
23. Groth M.J. , Bhatnagar A, Clearihue W. Long-term Efficacy of Biomodeled Polymethyl Methacrylate Implants for Orbitofacial Defect. Arch Facial Plast Surg. 2006; 8(6):381-389
24. Yilmaz M, Vayvada H, Aydýn E, Menderes A, Atabey A . Repair of fractures of the orbital floor with porouspolyethylene implants. British j of oral maxillofacial surgery2007; 45(8):640-644
25. Haug RH, Nuveen E, Bredbenner T. An evaluation of the support provided by common internal orbital reconstruction materials. J Oral Maxillofac Surg. 1999; 57(5):564-70
26. Lin IC, Liao SL, Lin LL. Porous Polyethylene implants in orbital floor reconstruction. J Formos Med Assoc, 2007; 106(1):51-57
27. Wang S, Xiao J, Lui L, Long J, Zheng X, Tian W. Orbital floor fracture: A retrospective study of 21 cases. Oral surg oral med oral pathol oral radioi endod 2008;106(3):324-330
28. Jaquiery C, Aeppli C, Cornelius P, Palmowsky A, Kunz C, Hammer B. Reconstruction of orbital wall defects: critical review of 72 patients. International journal of oral and maxillofacial surgery. 2007; 36(3): 193-199
29. Kos M, Brusco D, Engelke W. Results of treatment of orbital fractures with polydioxanone sheet]. Polim Med. 2006; 36(4):31-6.
30. Tuncer S, Yavuzer R, Kandal S, Demir YH, Ozmen S, Latifoglu O, Atabay KJ. Reconstruction of traumatic orbital floor fractures with resorbable mesh plate.Craniofac Surg. 2007 May;18(3):598-605.
2. Potter JK, Ellis E. Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg. 2004 Oct; 62(10):1280-97
3. Villarreal PM, Monje F, Morillo AJ, Junquera LM, González C, Barbón JJ. Porous polyethylene implants in orbital floor reconstruction. Plast Reconstr Surg. 2002 Mar; 109(3):877-85
4. Smith B, Regan WF. Blowout fracture of the orbit; mechanism and correction of internal orbital fracture. Am j opthalmol 1957; 44(6):733-739
5. Putterman AM, Stevens T, Urist MJ. Nonsurgical management of blow out fracture of the orbital floor. Am j opthalmol 1974; 77(2):232-239
6. Burnstine MA. Indications and timing for repair of isolated orbital floor fractures: an evidence-based analysis, Ophthalmology. 2002; 109(7): 1207-1213.
7. Courtney DJ, Thomas S, Whitfield PH. Isolated orbital blowout fractures: Survey and review. Br J Oral Maxillofac Surg. 2000; 38:496–503.
8. Chowdhury K, Krause GF. Selection of materials for orbital floor reconstruction. Arch Otolaryngol Head Neck Surg. 1998; 124:1398–401.
9. Kakibuchi M, Fukuda K, Yamada N, et al. A simple method for harvesting a thin iliac bone graft for reconstruction of the orbital wall. Plast Reconstr Surg. 2003; 111:961–2
10. Young VL, Schuster RH, Harris LW. Intracerebral hematoma complicating split calvarial bone-graft harvesting. Plast Reconstr Surg. 1990; 86:763–5
11. Kline RM, Jr, Wolfe SA. Complications associated with the harvesting of cranial bone grafts. Plast Reconstr Surg. 1995; 95:5–20.
12. Kraus M, Gatot A, Fliss D. Repair of traumatic inferior orbital wall defects with nasoseptal cartilage.J Oral Maxillofac Surg. 2001; 59:1397–401.
13. Constantian MB. Use of auricular cartilage in orbital floor reconstruction. Plast Reconstr Surg.1982; 69:951–5.
14. Dost P. [Orbital floor reconstruction with autologous periosteum transplant] Laryngorhinootologie.1996; 75:57–8
15. Morax S, Hurbli T, Smida R. Bovine heterologous bone graft in orbital surgery. Ann Chir Plast Esthet. 1993; 38(4):445–50.
16. Neigel JM, Ruzicka PO. Use of demineralised bone implants in orbital and craniofacial reconstruction and a review of the literature. Ophthal Plast Reconstr Surg. 1996; 12(2):108–20.
17. Campbell DG, Li P. Sterilization of HIV with irradiation: Relevance to infected bone allografts. Aust N Z J Surg. 1999; 69(7):517–21.
18. Nakumura Y, Aso E, Yanagawa H. Relative risk of Creutzfeldt-Jakob disease with cadaveric dura transplantation in Japan. Neurology. 1999; 53(1):218–20
19. Hollier LH, Rogers N, Berzin E, Stal S. Resorbable mesh in the treatment of orbital floor fractures. J Craniofac Surg. 2001; 12(3):242–6.
20. Gear AJ, Lokeh A, Aldridge JH, Migliori MR, Benjamin CI, and Schubert W. Safety of titanium mesh for orbital reconstruction. Ann Plast Surg. 2002; 48(1):1–9.
21. Laxenaire A, Levy J, Blanchard P, Lerondeau JC, Tesnier F, Scheffer P. Complications of silastic implants used in orbital repair. Rev Stomatol Chir Maxillofac. 1997; 98(1):96–9
22. Mok D, Lessard L, Cordoba C, Harris PG, and Nikolis A.A review of materials currently used in orbital floor reconstruction Can J Plast Surg. 2004; 12(3): 134–140.
23. Groth M.J. , Bhatnagar A, Clearihue W. Long-term Efficacy of Biomodeled Polymethyl Methacrylate Implants for Orbitofacial Defect. Arch Facial Plast Surg. 2006; 8(6):381-389
24. Yilmaz M, Vayvada H, Aydýn E, Menderes A, Atabey A . Repair of fractures of the orbital floor with porouspolyethylene implants. British j of oral maxillofacial surgery2007; 45(8):640-644
25. Haug RH, Nuveen E, Bredbenner T. An evaluation of the support provided by common internal orbital reconstruction materials. J Oral Maxillofac Surg. 1999; 57(5):564-70
26. Lin IC, Liao SL, Lin LL. Porous Polyethylene implants in orbital floor reconstruction. J Formos Med Assoc, 2007; 106(1):51-57
27. Wang S, Xiao J, Lui L, Long J, Zheng X, Tian W. Orbital floor fracture: A retrospective study of 21 cases. Oral surg oral med oral pathol oral radioi endod 2008;106(3):324-330
28. Jaquiery C, Aeppli C, Cornelius P, Palmowsky A, Kunz C, Hammer B. Reconstruction of orbital wall defects: critical review of 72 patients. International journal of oral and maxillofacial surgery. 2007; 36(3): 193-199
29. Kos M, Brusco D, Engelke W. Results of treatment of orbital fractures with polydioxanone sheet]. Polim Med. 2006; 36(4):31-6.
30. Tuncer S, Yavuzer R, Kandal S, Demir YH, Ozmen S, Latifoglu O, Atabay KJ. Reconstruction of traumatic orbital floor fractures with resorbable mesh plate.Craniofac Surg. 2007 May;18(3):598-605.
CITATION
DOI: 10.17511/ijmrr.2014.i01.06
Published: 2019-10-31
How to Cite
1.
Bhatnagar S, Khare P. Reconstruction of orbital floor fracture using porous polyethylene mesh. Int J Med Res Rev [Internet]. 2019Oct.31 [cited 2024Nov.8];2(1):26-2. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/54
Section
Original Article
OAI - Open Archives Initiative
