Titanium Mesh versus Medpor Implant in Orbital Floor Reconstructions: A Comparative Study

BACKGROUND: Treating orbital injuries is interesting and difficult in the facial trauma. The balance in facial proportions and also the facial esthetics are required to achieve an anatomical harmony. OBJECTIVE: To compare the functional results of individual reconstruction of orbital floor using either titanium mesh or Medpor in terms of various factors. MATERIALS AND METHODS: There were two study groups including eight subjects with orbital floor fracture, namely A (Medpor) and B (titanium mesh). Various parameters were analyzed postoperatively at intervals of 1 week, 3 week, 6(th) week, and 3 months after the surgery. STATISTICAL ANALYSIS: Comparison of the different time points with respect to pain scores in the two study groups by Wilcoxon matched pairs test was done. P value was significant in the study Group A with P = 0.0431* and was insignificant in the study Group B with P = 0.1088. RESULTS: All three cases of titanium mesh in orbital floor reconstruction had signs of infection, tenderness, and radiographic proof after 1 week in two subjects and 3 weeks in one patient. Pain was seen in all eight patients 1 week postoperatively. CONCLUSION: Although orbital reconstruction is a technique sensitive procedure both Medpore and Titanium mesh functions.