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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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