The application of Medpor Titan combined with Medpor in orbital floor reconstruction
10.3760/cma.j.issn.1009-4598.2018.01.009
- VernacularTitle: Medpor Titan联合Medpor置入在眼眶骨折眶底整复中的应用
- Author:
Jiecong WANG
1
;
Hongbo CHEN
;
Jiaming SUN
Author Information
1. Department of Plastic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
- Publication Type:Clinical Trail
- Keywords:
Orbital fractures;
Enophthalmos;
Medpor;
Eye movements
- From:
Chinese Journal of Plastic Surgery
2018;34(1):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the surgical treatment of orbital fractures and ocular traction deformities, and summarize the surgical results.
Methods:A retrospective study was conducted on 42 cases of monocular patients with orbital fractures and ocular fractures treated by Medpor Titan and Medpor. Preoperative CT scan and three-dimensional reconstruction were performed to evaluate the maxillofacial fractures, orbital wall defects, orbital content, shift incarceration. During surgery, the periorbital fracture and defect area were exposed, the periorbital shift bone were reduced, Medpor Titan was used to repair the orbital floor, Medpor to correct eyeball retraction. Follow-up observation of postoperative results and to assess the patient′s satisfaction rate, patient’s eyeballs, visual acuity and motor function.
Results:All patients had successful operation, the eye trapping deformity were significantly improved or corrected. Patient satisfaction rate was 92.9% (39/42); wound healingswere good, except for 1 infection (4 years after surgery), there was no rejection. Six months after the surgery, the ocular protrusion was reduced in 88.1% (37/42), the degree of diplopia was significantly improved in 90.5% (19/21) and the eye movement disorder corrected by 87.5% (14/16).
Conclusions:Medpor Titan combined with Medpor repair orbital wall fractures can achieve good results, with high satisfaction rate. Diplopia and eye movement dysfunction can be significantly improved.
