The Evaluation of Complications of Titanium Mesh Reconstruction in Orbital Floor Fractures

Hayder, Ghufran Majid; Ismael, Waleed Khalil

doi:10.52573/ipmj.2021.167828

	The Evaluation of Complications of Titanium Mesh Reconstruction in Orbital Floor Fractures
Iraqi Postgraduate Medical Journal
Article 11, Volume 20, Issue 1, January 2021, Pages 67-71 PDF (283.07 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2021.167828
Authors
Ghufran Majid Hayder; Waleed Khalil Ismael
AL-Yarmook Teaching Hospital, Baghdad, Iraq
Abstract
BACKGROUND: The facial symmetry is a specific measure of bodily symmetry and it influences judgements of aesthetic traits, therefore special attention and care must payed during orbital fracture treatment to consider every detail in the scenario of surgical reconstruction. Many materials have been used for treatment of orbital bones fractures and titanium mesh is widely used implant for this purpose therefore it worthwhile to study it. AIM OF STUDY: Evaluate the complications of using titanium mesh in the treatment of orbital floor fractures. MATERIALS AND METHODS: The study included 13 patients (11 males and 2 females) presented to Oral and Maxillofacial Surgical Department in Al-Yarmook Teaching Hospital Iraq/ Baghdad in the period from January 2018 to June 2019 with traumatic orbital floor fracture and they underwent reconstruction with titanium mesh. RESULTS: The results showed that the most common cause for trauma was road traffic accident (53.8%). Preoperative diplopia found in 12 patients (92.31%) followed by persistent diplopia found in only one (7.69%). Preoperative enophthalmos was (61.5%) in eight patients, six of them improved after treatment and returned to the normal condition but only two had postoperative enophthalmos with less severity. CONCLUSION: The reconstruction of orbital floor using titanium mesh was successful in most of the cases and the resulted was good and satisfactory aesthetic and functional results.
Keywords
Orbital fracture; titanium mesh; diplopia; enophthalmous; Hertel exophthalmometer

References
Al-Anezi M, Mahran H, Alomaym M, Salma Albati S, Alharbi M. Role of Titanium Mesh as aReconstruction Material for Orbital Floor Defects in Cases of Orbital Blowout Trauma, OHDM- 2018:17. Breme J, Steinhäuser E, Paulus G: Commercially pure titanium Steinhäuser plate screw system for maxillofacial surgery. Biomaterials 1988;9:310-13. Brennan PA, Schliephake H, Ghali GE. Maxillofacial Surgery .2017, 3^rd edition, volume1 Fonseca R J. Oral and Maxillofacial trauma 4^th edition, 2013. Gabrielli M F., Monnazzi M S, Passeri L A, Carvalho W R, Orbital Wall Reconstruction with Titanium Mesh. Craniomaxillofac Trauma Reconstr, 2011;4:151–56. Hoffmann J, Cornelius CP, Groten M, Pröbster L, Pfannenberg C, Schwenzer N. Orbital reconstruction with individually copymilled ceramic implants. Plast Reconstr Surg, 1998;101:604–12. Ling-Xiao Ye, Xiao-Ming Sun, Yu-Guang Zhang, Ying Zhang. Materials to facilitate orbital reconstruction and soft tissue filling in posttraumatic orbital deformities,Plast Aesthet Res 2016; 3:86-91. Perry M, Brown A, Banks P.Fractures Of The Facial Skeleton, 2016. Second Edition. Rubin PA, Shore JW, Yarmechuk. Complex Orbital Fracture Repaire Using rigid fixation of internal orbital skeleton. Ophthalmology, 1992. 10. Scolozzi P,Momjian A, Heuberger J, Andersen E,‏Broome M, Terzic A, Jaques B, Accuracy and Predictability in Use of AO Three-Dimensionally Preformed Titanium Mesh Plates for Posttraumatic Orbital Reconstruction: A Pilot StudyJ Craniofac Surg 2009;20:1108Y1113.
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