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Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes
Orbital floor fractures (OFFs) are common injuries of the midface and may result in long-term complications. The aim of this study was to compare two restoration materials, PDS foils and titanium meshes, with regards to (1) clinical outcome and (2) reduction in orbital volume. The monocentric discov...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10458727/ https://www.ncbi.nlm.nih.gov/pubmed/37624114 http://dx.doi.org/10.3390/tomography9040121 |
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author | Taxis, Juergen Ungerboeck, Lena Motel, Constantin Eckert, Alexander W. Platz Batista da Silva, Natascha Nieberle, Felix Ludwig, Nils Meier, Johannes K. Ettl, Tobias Reichert, Torsten E. Spoerl, Steffen |
author_facet | Taxis, Juergen Ungerboeck, Lena Motel, Constantin Eckert, Alexander W. Platz Batista da Silva, Natascha Nieberle, Felix Ludwig, Nils Meier, Johannes K. Ettl, Tobias Reichert, Torsten E. Spoerl, Steffen |
author_sort | Taxis, Juergen |
collection | PubMed |
description | Orbital floor fractures (OFFs) are common injuries of the midface and may result in long-term complications. The aim of this study was to compare two restoration materials, PDS foils and titanium meshes, with regards to (1) clinical outcome and (2) reduction in orbital volume. The monocentric discovery cohort was analyzed retrospectively and included 476 patients with OFFs treated between 2010 and 2020. A subcohort of 104 patients (study cohort) with isolated OFFs and available high-resolution imaging material was used for volume measurements. Postoperative complications were not significantly different between patients treated with different restoration materials. Prevalence of revision surgery was significantly higher in patients treated with thick PDS foils (25 mm). OFFs treated with PDS foils and titanium meshes showed a significant reduction in orbital volume (p = 0.0422 and p = 0.0056, respectively), however, this volume decrease was significantly less pronounced in patients treated with PDS foils alone (p = 0.0134). Restoration using PDS foil in an isolated OFF reduces the orbital volume to a lesser extent than titanium mesh. Class III patients according to the classification of Jaquiéry with a missing bony ledge medial to the infraorbital fissure particularly benefit from restoration with PDS foils due to a lower reduction in the orbital volume. Regarding short- and long-term postoperative complications, a PDS foil thickness of 0.15 mm appears equivalent to titanium mesh in the treatment of OFFs. |
format | Online Article Text |
id | pubmed-10458727 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104587272023-08-27 Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes Taxis, Juergen Ungerboeck, Lena Motel, Constantin Eckert, Alexander W. Platz Batista da Silva, Natascha Nieberle, Felix Ludwig, Nils Meier, Johannes K. Ettl, Tobias Reichert, Torsten E. Spoerl, Steffen Tomography Article Orbital floor fractures (OFFs) are common injuries of the midface and may result in long-term complications. The aim of this study was to compare two restoration materials, PDS foils and titanium meshes, with regards to (1) clinical outcome and (2) reduction in orbital volume. The monocentric discovery cohort was analyzed retrospectively and included 476 patients with OFFs treated between 2010 and 2020. A subcohort of 104 patients (study cohort) with isolated OFFs and available high-resolution imaging material was used for volume measurements. Postoperative complications were not significantly different between patients treated with different restoration materials. Prevalence of revision surgery was significantly higher in patients treated with thick PDS foils (25 mm). OFFs treated with PDS foils and titanium meshes showed a significant reduction in orbital volume (p = 0.0422 and p = 0.0056, respectively), however, this volume decrease was significantly less pronounced in patients treated with PDS foils alone (p = 0.0134). Restoration using PDS foil in an isolated OFF reduces the orbital volume to a lesser extent than titanium mesh. Class III patients according to the classification of Jaquiéry with a missing bony ledge medial to the infraorbital fissure particularly benefit from restoration with PDS foils due to a lower reduction in the orbital volume. Regarding short- and long-term postoperative complications, a PDS foil thickness of 0.15 mm appears equivalent to titanium mesh in the treatment of OFFs. MDPI 2023-08-16 /pmc/articles/PMC10458727/ /pubmed/37624114 http://dx.doi.org/10.3390/tomography9040121 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Taxis, Juergen Ungerboeck, Lena Motel, Constantin Eckert, Alexander W. Platz Batista da Silva, Natascha Nieberle, Felix Ludwig, Nils Meier, Johannes K. Ettl, Tobias Reichert, Torsten E. Spoerl, Steffen Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes |
title | Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes |
title_full | Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes |
title_fullStr | Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes |
title_full_unstemmed | Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes |
title_short | Thin PDS Foils Represent an Equally Favorable Restorative Material for Orbital Floor Fractures Compared to Titanium Meshes |
title_sort | thin pds foils represent an equally favorable restorative material for orbital floor fractures compared to titanium meshes |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10458727/ https://www.ncbi.nlm.nih.gov/pubmed/37624114 http://dx.doi.org/10.3390/tomography9040121 |
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