Assessment of indications and clinical outcome for the endoscopy-assisted combined subciliary/transantral approach in treatment of complex orbital floor fractures

2013 ◽  
Vol 41 (8) ◽  
pp. 797-802 ◽  
Author(s):  
Joachim Polligkeit ◽  
Martin Grimm ◽  
Jens P. Peters ◽  
Marcel Cetindis ◽  
Michael Krimmel ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Orbital Floor ◽  
Orbital Floor Fractures

scholarly journals Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®)

Materials ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 206 ◽  
Author(s):  
Otto Steinmassl ◽  
Johannes Laimer ◽  
Vincent Offermanns ◽  
Matthias Wildauer ◽  
Patricia-Anca Steinmassl ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Surgical Repair ◽  
Clinical Symptoms ◽  
Clinical Results ◽  
Orbital Floor ◽  
Polyglactin 910 ◽  
Suitable Material ◽  
Orbital Floor Fractures ◽  
Severe Impairment

The aim of this retrospective study was to evaluate the clinical outcome of surgical management of small versus large, isolated orbital floor fractures (OFFs) using polyglactin 910/polydioxanone (Ethisorb®). Covering a four-year period (2010–2013), all records concerning midfacial fractures with involvement of the orbit were screened. Isolated fractures of the orbital floor as well as combined injuries of the orbital floor and medial wall that had been treated surgically using polyglactin 910/polydioxanone (Ethisorb®) were included. Patients underwent a preoperative, a postoperative, and a late ophthalmologic assessment. The clinical outcomes of surgically managed small OFFs up to 2 cm2 were statistically analyzed and compared to clinical results in larger defects. The final sample included 61 patients (25 women, 36 men). Fractures up to 2 cm2 were found in 33 patients (54.1%), whereas 28 patients (45.9%) suffered from OFFs larger than 2 cm2. The clinical outcomes did not significantly differ between both sample categories, and statistical analysis showed a power of 0.91 to detect a potentially existing difference. On final examination, 52 patients were free of any clinical symptoms, whereas minor issues were found in seven subjects, and two patients suffered from severe impairment. In conclusion, polyglactin 910/polydioxanone (Ethisorb®) seems to be a suitable material for surgical repair of both small and large OFFs.

scholarly journals Repair of Orbital Floor Fractures: Our Experience and New Technical Findings

2010 ◽  
Vol 3 (4) ◽  
pp. 217-221 ◽  
Author(s):  
Pasquale Piombino ◽  
Giorgio Iaconetta ◽  
Roberto Ciccarelli ◽  
Antonio Romeo ◽  
Alessia Spinzia ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Maxillofacial Surgery ◽  
Orbital Floor ◽  
Economic Costs ◽  
Orbital Floor Fractures ◽  
Computed Tomography Scans ◽  
Resorbable Materials ◽  
Preoperative Examination

We report our experience with the repair of the orbital floor fractures and present new technical findings. We evaluated 30 subjects with pure blowout fractures treated at the Department of Maxillofacial Surgery of the Federico II University of Naples, Italy, between 2005 and 2007. A preoperative examination by computed tomography scans provided classification of the orbital floor fractures into small and large fractures by measurement of the bone defect to choose the appropriate reconstructive implant materials, resorbable or nonresorbable. The clinical follow-up has been performed at 1 week, 1 month, 3 months, and 6 months. We observed a resolution of preoperative symptoms. The scar was not evident, and there was an absence of postoperative complications. We concluded that the use of resorbable materials for small orbital floor fractures and nonresorbable materials for large orbital floor fractures offers satisfactory results in both functional and aesthetic considerations. Furthermore, the new technical findings allow standardization of the surgical technique to be more accurate, also reducing the economic costs.

scholarly journals The Dilemma of Reconstructive Material Choice for Orbital Floor Fracture: A Narrative Review

Medicines ◽  
2022 ◽  
Vol 9 (1) ◽  
pp. 6
Author(s):  
Akash Sivam ◽  
Natalie Enninghorst
Keyword(s):  
Disease Transmission ◽  
Narrative Review ◽  
Orbital Floor ◽  
Alloplastic Materials ◽  
Complex Anatomy ◽  
Orbital Floor Fractures ◽  
Orbital Floor Reconstruction ◽  
Material Choice ◽  
Properties Of Materials ◽  
Catastrophic Disease

The aim of this study is to present a narrative review of the properties of materials currently used for orbital floor reconstruction. Orbital floor fractures, due to their complex anatomy, physiology, and aesthetic concerns, pose complexities regarding management. Since the 1950s, a myriad of materials has been used to reconstruct orbital floor fractures. This narrative review synthesises the findings of literature retrieved from search of PubMed, Web of Science, and Google Scholar databases. This narrative review was conducted of 66 studies on reconstructive materials. Ideal material properties are that they are resorbable, osteoconductive, resistant to infection, minimally reactive, do not induce capsule formation, allow for bony ingrowth, are cheap, and readily available. Autologous implants provide reliable, lifelong, and biocompatible material choices. Allogenic materials pose a threat of catastrophic disease transmission. Newer alloplastic materials have gained popularity. Consideration must be made when deliberating the use of permanent alloplastic materials that are a foreign body with potential body interactions, or the use of resorbable alloplastic materials failing to provide adequate support for orbital contents. It is vital that surgeons have an appropriate knowledge of materials so that they are used appropriately and reduce the risks of complications.

Repair of Orbital Floor Fractures Using Bioresorbable Poly-L/DL-Lactide Plates

2010 ◽  
Vol 12 (6) ◽  
pp. 399-404
Author(s):  
Olivier Lieger ◽  
Benoit Schaller ◽  
Jürgen Zix ◽  
Frauke Kellner ◽  
Tateyuki Iizuka
Keyword(s):  
Orbital Floor ◽  
Orbital Floor Fractures

Management of Orbital Floor Fractures

2019 ◽  
Vol 35 (06) ◽  
pp. 633-639 ◽  
Author(s):  
Tom Shokri ◽  
Mark Alford ◽  
Matthew Hammons ◽  
Yadranko Ducic ◽  
Mofiyinfolu Sokoya
Keyword(s):  
Decision Making ◽  
Surgical Repair ◽  
Operative Intervention ◽  
Orbital Floor ◽  
Ocular Motility ◽  
Orbital Volume ◽  
Facial Contour ◽  
Orbital Floor Fractures ◽  
Craniomaxillofacial Trauma

AbstractFractures of the orbital floor represent a common yet difficult to manage sequelae of craniomaxillofacial trauma. Repair of these injuries should be carried out with the goal of restoring normal orbital volume, facial contour, and ocular motility. Precise surgical repair is imperative to reduce the risk of long-term debilitating morbidity. This article aims to review concepts on the management of orbital floor fractures in the hope of further elucidating perioperative evaluation and decision-making regarding operative intervention.

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