Bioresorbable Material in Secondary Orbital Reconstruction Surgery

Joint Authors

Pan, Hui
Zhang, Zhenzhen
Tang, Weiwei
Li, Zhengkang
Deng, Yuan

Source

Journal of Ophthalmology

Issue

Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2019-02-03

Country of Publication

Egypt

No. of Pages

7

Main Subjects

Medicine

Abstract EN

Purpose.

To validate the potential of bioresorbable implantation in secondary revisional reconstruction after inadequate primary orbital fracture repair, with assessment of pre- and postoperative clinical characteristics and computed tomography image findings.

Methods.

A retrospective chart review was conducted on 16 consecutive patients treated for orbital fractures at Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, with inadequate prior surgeries between July 2010 and June 2017; patients who had suffered orbital blowout fractures had undergone primary surgeries elsewhere.

Secondary repair of orbital fractures used bioresorbable material following unsatisfactory primary orbital repair.

Patients’ demographics, degree of enophthalmos, ocular motility, diplopia test results, primary implants, and surgical complications were reviewed.

Results.

All 16 patients had primary orbital implants consisting of Medpor, titanium mesh, hydroxyapatite, or poly-L-lactide.

Of the 16 cases, 14 had malpositioned implants posteriorly and two had implant infections.

Findings following primary surgery included enophthalmos (12/16), diplopia (9/16), intraorbital abscess (2/16), and ocular movement pain (1/16).

Mean preoperative enophthalmos was 3.8 ± 0.8 mm.

Secondary reconstruction resulted in a mean reduction of enophthalmos by 3.1 ± 0.9 mm (P<0.01).

Nine in ten patients experienced improvements in postoperative ocular motility and diplopia following secondary surgery.

Intraorbital abscesses and eyeball movement-associated pain were cured.

Conclusions.

This study demonstrates that secondary orbital reconstruction of previously repaired orbital fractures using bioresorbable material can achieve excellent functional and aesthetic results with minimal complications.

Bioresorbable material should be considered in secondary orbital reconstruction when clinically indicated.

American Psychological Association (APA)

Pan, Hui& Zhang, Zhenzhen& Tang, Weiwei& Li, Zhengkang& Deng, Yuan. 2019. Bioresorbable Material in Secondary Orbital Reconstruction Surgery. Journal of Ophthalmology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1186320

Modern Language Association (MLA)

Pan, Hui…[et al.]. Bioresorbable Material in Secondary Orbital Reconstruction Surgery. Journal of Ophthalmology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1186320

American Medical Association (AMA)

Pan, Hui& Zhang, Zhenzhen& Tang, Weiwei& Li, Zhengkang& Deng, Yuan. Bioresorbable Material in Secondary Orbital Reconstruction Surgery. Journal of Ophthalmology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1186320

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1186320