Three-Dimensional Pre-Bent Titanium Implant for Concomitant Orbital Floor and Medial Wall Fractures in an East Asian Population.
10.5999/aps.2014.41.5.480
- Author:
Kyung Min LEE
1
;
Ji Ung PARK
;
Sung Tack KWON
;
Suk Wha KIM
;
Eui Cheol JEONG
Author Information
1. Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea. ejeong.md@gmail.com
- Publication Type:Original Article
- Keywords:
Orbital fractures;
Enophthalmos;
Orbital implant
- MeSH:
Asian Continental Ancestry Group*;
Enophthalmos;
Follow-Up Studies;
Humans;
Orbit*;
Orbital Fractures;
Orbital Implants;
Titanium*;
Treatment Outcome
- From:Archives of Plastic Surgery
2014;41(5):480-485
- CountryRepublic of Korea
- Language:English
-
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.
