Reconstruction of Traumatic Orbital Defects Using Porous Polyethylene Sheet.
- Author:
Hong Ryul JIN
1
;
See Ok SHIN
;
Moo Jin CHOO
;
In Seon YOO
Author Information
1. Department of Otolaryngology, College of Medicine, Chungbuk National University, Cheongju, Korea. hrjin@med.chungbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Porous polyethylene sheet;
Traumatic orbital defect
- MeSH:
Diplopia;
Enophthalmos;
Eye Movements;
Follow-Up Studies;
Humans;
Orbit*;
Polyethylene*;
Postoperative Complications;
Transplants
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1998;41(10):1291-1295
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Among the various alloplastic materials which are used in reconstruction of the traumatic orbital defects, porous polyethylene sheets (PPSs) are increasingly used due to their improved biocompatibility, easy malleability, and minimal complication. We report our experience with PPSs in reconstruction of the traumatic orbital defects. MATERIALS AND METHODS: PPSs (0.85 mm or 1.5 mm) were used in 23 patients with significant traumatic orbital defects. Twenty patients were treated for orbital floor defects, 2 for medial wall defects, and 1 for both floor and medial wall defects. Their surgical results and postoperative complications were studied. Their mean follow-up period was 18 months. RESULTS: Postoperatively, diplopia or limitation of eye movements were resolved in 11 of 17 patients and enophthalmos in 6 of 9 patients. No patients had induced diplopia or exacerbation of preoperative symptoms. There were no complications like graft extrusion, infection, clinically detectable graft distortion, or resorption. CONCLUSION: PPS appears to be an excellent material for reconstruction of the traumatic orbital defects.