Subciliary Versus Subtarsal Approach for The Management Of Infraorbital Rim And Orbital Floor Fractures. An Anthropometric Analysis

Objective: To determine the outcome of orbital floor reconstruction with titaniummesh in terms of diplopia, enophthalmos, dystopia and infection etc. Study design: Descriptivecase series. Place & duration of study: Department of Oral & Maxillofacial Surgery, PunjabMedical College / Allied Hospital Faisalabad. One and Half year from 01-10-12 to 31-03-14.Material and Method: Twenty two patients clinically and radiographically having defect in theorbital floor due to trauma were included in the study. Titanium mesh was used to reconstruct theorbital floor through infraorbital rim incision and secured in place with 5mm micro screws. Thevariables to be analyzed were diplopia, enophthalmos, orbital dystopia and infection. Results: Inour study male gender predominates over female 20/22. Mean age of patients is 29.36 years ±5.21. Diplopia persisted in 2/10 (20%) patients. Enophthalmos persisted in 7/18 (38.8%) patients.dystopia persisted in ¼ (25%) patients. Infection didn’t develop in any of our patient (0%). Visualacuity was not affected in any of the patient (0%). Conclusions: Titanium mesh is a suitablematerial for reconstruction of orbital floor fractures with little complication rate and no donor sitemorbidity.

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Medicolegal assessment in cases of zygomatico-maxillo-orbital fractures and isolated orbital floor fractures in criminal cases

Archives of Forensic Medicine and Criminology ◽

10.5114/amsik.2019.89234 ◽

2019 ◽

Vol 69 (1-2) ◽

pp. 1-39

Author(s):

Piotr T. Arkuszewski ◽

Piotr Arkuszewski ◽

Małgorzata Zielińska ◽

Ewa Meissner

Keyword(s):

Orbital Floor ◽

Orbital Fractures ◽

Criminal Cases ◽

Orbital Floor Fractures ◽

Medicolegal Assessment

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Reconstruction of orbital floor fractures a current surgical management

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/s0901-5027(05)80927-0 ◽

2005 ◽

Vol 34 ◽

pp. 17

Author(s):

M. Marasco ◽

R. D'Angelo ◽

F. De Ponte

Keyword(s):

Surgical Management ◽

Orbital Floor ◽

Orbital Floor Fractures ◽

A Current

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Case series of 132 patients with orbital floor fractures via a “sutureless” transconjunctival approach

British Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.bjoms.2017.08.144 ◽

2017 ◽

Vol 55 (10) ◽

pp. e135

Author(s):

Alexandra Green ◽

Michael Perry

Keyword(s):

Case Series ◽

Orbital Floor ◽

Transconjunctival Approach ◽

Orbital Floor Fractures

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

Craniomaxillofacial Trauma & Reconstruction ◽

10.1055/s-0030-1268518 ◽

2010 ◽

Vol 3 (4) ◽

pp. 217-221 ◽

Cited By ~ 20

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.

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

Medicines ◽

10.3390/medicines9010006 ◽

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.

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