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Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique
BACKGROUND: Compared to isolated orbital wall fracture, combined orbital floor and medial wall fractures are more likely to be required surgical correction due to a higher possibility of complications. However, it remains a challenge to repair concomitant orbital fracture using a one-piece implant d...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039696/ https://www.ncbi.nlm.nih.gov/pubmed/33850860 http://dx.doi.org/10.21037/atm-21-598 |
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author | Yu, Jinguo Zhang, Jingkai Chen, Song Han, Qi Yan, Hua |
author_facet | Yu, Jinguo Zhang, Jingkai Chen, Song Han, Qi Yan, Hua |
author_sort | Yu, Jinguo |
collection | PubMed |
description | BACKGROUND: Compared to isolated orbital wall fracture, combined orbital floor and medial wall fractures are more likely to be required surgical correction due to a higher possibility of complications. However, it remains a challenge to repair concomitant orbital fracture using a one-piece implant due to the complex anatomic structures of the orbit. Aiming to reduce surgical difficulties and enhance therapeutic effects, we repaired unilateral combined orbital floor and medial wall fractures using two separated modified titanium mesh plates in this study. METHODS: A retrospective study was conducted on 21 consecutive patients who presented with unilateral combined orbital floor and medial wall fractures in Tianjin Medical University General Hospital between November 2010 and January 2016. The orbital fractures were repaired with two separated titanium mesh plates. The corner at the transition zone area between the orbital floor and the medial wall was reconstructed simultaneously through a combined transcaruncular and inferior subciliary approach with lateral canthotomy. The pre- and post-operative functions and aesthetic results were evaluated. RESULTS: Preoperatively, all patients presented with 3.5–6.5 mm enophthalmos, five patients presented with diplopia with ocular motility limitation in injured eyes, and six patients presented with hypoglobus ranging from 1.5 to 3.5 mm. Orbital floor and medial wall fractures of all patients were successfully repaired with two separated titanium mesh plates. Postoperatively, enophthalmos was improved in all patients, which was less than 2 mm on the last follow-up day. Hypoglobus was disappeared in all six patients postoperatively. Diplopia was resolved in five patients within 3 months post operation, and was reduced in one patient. CONCLUSIONS: In cases of unilateral concomitant orbital floor and medial wall fractures, two titanium mesh plates implantation is a safe and effective procedure. It is worthwhile to take the technique into account when the key points to consider when applying this method include reconstruction of the special orbital shape and the complete return reposition of prolapsed intraorbital soft tissues were intended. |
format | Online Article Text |
id | pubmed-8039696 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-80396962021-04-12 Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique Yu, Jinguo Zhang, Jingkai Chen, Song Han, Qi Yan, Hua Ann Transl Med Original Article BACKGROUND: Compared to isolated orbital wall fracture, combined orbital floor and medial wall fractures are more likely to be required surgical correction due to a higher possibility of complications. However, it remains a challenge to repair concomitant orbital fracture using a one-piece implant due to the complex anatomic structures of the orbit. Aiming to reduce surgical difficulties and enhance therapeutic effects, we repaired unilateral combined orbital floor and medial wall fractures using two separated modified titanium mesh plates in this study. METHODS: A retrospective study was conducted on 21 consecutive patients who presented with unilateral combined orbital floor and medial wall fractures in Tianjin Medical University General Hospital between November 2010 and January 2016. The orbital fractures were repaired with two separated titanium mesh plates. The corner at the transition zone area between the orbital floor and the medial wall was reconstructed simultaneously through a combined transcaruncular and inferior subciliary approach with lateral canthotomy. The pre- and post-operative functions and aesthetic results were evaluated. RESULTS: Preoperatively, all patients presented with 3.5–6.5 mm enophthalmos, five patients presented with diplopia with ocular motility limitation in injured eyes, and six patients presented with hypoglobus ranging from 1.5 to 3.5 mm. Orbital floor and medial wall fractures of all patients were successfully repaired with two separated titanium mesh plates. Postoperatively, enophthalmos was improved in all patients, which was less than 2 mm on the last follow-up day. Hypoglobus was disappeared in all six patients postoperatively. Diplopia was resolved in five patients within 3 months post operation, and was reduced in one patient. CONCLUSIONS: In cases of unilateral concomitant orbital floor and medial wall fractures, two titanium mesh plates implantation is a safe and effective procedure. It is worthwhile to take the technique into account when the key points to consider when applying this method include reconstruction of the special orbital shape and the complete return reposition of prolapsed intraorbital soft tissues were intended. AME Publishing Company 2021-03 /pmc/articles/PMC8039696/ /pubmed/33850860 http://dx.doi.org/10.21037/atm-21-598 Text en 2021 Annals of Translational Medicine. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Original Article Yu, Jinguo Zhang, Jingkai Chen, Song Han, Qi Yan, Hua Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique |
title | Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique |
title_full | Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique |
title_fullStr | Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique |
title_full_unstemmed | Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique |
title_short | Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique |
title_sort | repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039696/ https://www.ncbi.nlm.nih.gov/pubmed/33850860 http://dx.doi.org/10.21037/atm-21-598 |
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