Reconstruction of the orbital fracture with enophthalmos using customized titanium mesh combined with Medpor
10.7518/hxkq.2015.03.012
- VernacularTitle:个性化钛网联合多孔高密度聚乙烯矫正眼眶骨折伴眼球内陷畸形
- Author:
Libo SUN
1
;
Jingang XIAO
;
Yuyan LAN
;
Yilin XIONG
;
Li ZHANG
;
Hangyu ZHOU
;
Lei ZHANG
Author Information
1. 泸州医学院附属口腔医院口腔颌面外科
- Keywords:
orbital fracture;
enophthalmos;
mirror imaging;
customized titanium mesh
- From:
West China Journal of Stomatology
2015;(3):272-275
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveThis?study?aims?to?evaluate?the?effect?of?customized?titanium?mesh,?which?was?designed?by?mirror?imaging?and?rapid?prototyping?technique,?with?Medpor?applied?for?orbital?fracture?with?enophthalmos.?Methods???Orbital?axial,?coronal,?and?sagittal?CT?scan,?and?three-dimension?CT?examination?were?performed?routinely?in?18?cases?of?orbital?fracture?with?enophthalmos?preoperatively.?Based?on?the?CT?data,?prosthesis?model?was?designed?by?reverse?engineering?and?rapid?prototyping?technique.?The?customized?titanium?mesh?and?Medpor?were?applied?for?orbital?reconstruction?and?enophthalmos?correction.?Orbital?reduction?and?globe?projection?were?evaluated?by?postoperative?CT?scan?and?clinical?follow-up?visits.?Results???CT?scans?revealed?that?the?customized?titanium?mesh?with?Medpor?had?great?accuracy?to?reconstruct?the?orbital?fracture?and?correct?the?enophthalmos?in?all?patients?without?serious?complications.?The?eye?and?facial?appearance?and?func-tion?recovered?significantly.?No?serious?complication?occurred?in?the?operation?and?after?operation.?Conclusion???The?custo-mized?titanium?mesh,?based?on?mirror?imaging?and?rapid?prototyping?technique,?can?accurately?reconstruct?the?orbital?fractures?with?enophthalmos.?The?application?of?Medpor?can?effectively?correct?enophthalmos?and?eyeball?mobility?malformation.
