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

2021 ◽  
Vol 20 (1) ◽  
pp. 67-71
Author(s):  
Ghufran Hayder ◽  
Waleed Ismael
Keyword(s):  
Orbital Floor ◽  
Titanium Mesh ◽  
Orbital Floor Fractures ◽  
Mesh Reconstruction

Combined Use of Titanium Mesh and Resorbable PLLA-PGA Implant in the Treatment of Large Orbital Floor Fractures

2011 ◽  
Vol 22 (6) ◽  
pp. 1991-1995 ◽  
Author(s):  
Fernando González Magaña ◽  
Rodrigo Menéndez Arzac ◽  
Laura De Hilario Avilés
Keyword(s):  
Orbital Floor ◽  
Titanium Mesh ◽  
Combined Use ◽  
Orbital Floor Fractures

scholarly journals Functional and Cosmetic Outcome after Reconstruction of Isolated, Unilateral Orbital Floor Fractures (Blow-Out Fractures) with and without the Support of 3D-Printed Orbital Anatomical Models

2021 ◽  
Vol 10 (16) ◽  
pp. 3509
Author(s):  
Guido R. Sigron ◽  
Marina Barba ◽  
Frédérique Chammartin ◽  
Bilal Msallem ◽  
Britt-Isabelle Berg ◽  
...  
Keyword(s):  
Titanium Implant ◽  
Cosmetic Outcome ◽  
Orbital Floor ◽  
Surgical Reconstruction ◽  
Patient Specific ◽  
Ocular Motility ◽  
Titanium Mesh ◽  
Anatomical Models ◽  
Orbital Floor Fractures ◽  
3D Printed

The present study aimed to analyze if a preformed “hybrid” patient-specific orbital mesh provides a more accurate reconstruction of the orbital floor and a better functional outcome than a standardized, intraoperatively adapted titanium implant. Thirty patients who had undergone surgical reconstruction for isolated, unilateral orbital floor fractures between May 2016 and November 2018 were included in this study. Of these patients, 13 were treated conventionally by intraoperative adjustment of a standardized titanium mesh based on assessing the fracture’s shape and extent. For the other 17 patients, an individual three-dimensional (3D) anatomical model of the orbit was fabricated with an in-house 3D-printer. This model was used as a template to create a so-called “hybrid” patient-specific titanium implant by preforming the titanium mesh before surgery. The functional and cosmetic outcome in terms of diplopia, enophthalmos, ocular motility, and sensory disturbance trended better when “hybrid” patient-specific titanium meshes were used but with statistically non-significant differences. The 3D-printed anatomical models mirroring the unaffected orbit did not delay the surgery’s timepoint. Nonetheless, it significantly reduced the surgery duration compared to the traditional method (58.9 (SD: 20.1) min versus 94.8 (SD: 33.0) min, p-value = 0.003). This study shows that using 3D-printed anatomical models as a supporting tool allows precise and less time-consuming orbital reconstructions with clinical benefits.

The Anatomage Table and the placement of titanium mesh for the management of orbital floor fractures

2018 ◽  
Vol 126 (4) ◽  
pp. 317-321 ◽  
Author(s):  
Matteo Brucoli ◽  
Francesca Boccafoschi ◽  
Paolo Boffano ◽  
Emanuele Broccardo ◽  
Arnaldo Benech
Keyword(s):  
Orbital Floor ◽  
Titanium Mesh ◽  
Orbital Floor Fractures

scholarly journals ORBITAL FLOOR RECONSTRUCTION WITH TITANIUM MESH;

2014 ◽  
Vol 21 (03) ◽  
pp. 575-579
Author(s):  
Muhammad Usman Khalid ◽  
Arshad Mahmood Malik ◽  
Omer Sefvan Janjua
Keyword(s):  
Study Design ◽  
Complication Rate ◽  
Maxillofacial Surgery ◽  
Male Gender ◽  
Orbital Floor ◽  
Titanium Mesh ◽  
No Donor ◽  
Orbital Floor Fractures ◽  
Orbital Floor Reconstruction ◽  
Infraorbital Rim

Objective: To determine the outcome of orbital floor reconstruction with titaniummesh in terms of diplopia, enophthalmos, dystopia and infection etc. Study design: Descriptivecase series. Place & duration of study: Department of Oral & Maxillofacial Surgery, PunjabMedical College / Allied Hospital Faisalabad. One and Half year from 01-10-12 to 31-03-14.Material and Method: Twenty two patients clinically and radiographically having defect in theorbital floor due to trauma were included in the study. Titanium mesh was used to reconstruct theorbital floor through infraorbital rim incision and secured in place with 5mm micro screws. Thevariables to be analyzed were diplopia, enophthalmos, orbital dystopia and infection. Results: Inour study male gender predominates over female 20/22. Mean age of patients is 29.36 years ±5.21. Diplopia persisted in 2/10 (20%) patients. Enophthalmos persisted in 7/18 (38.8%) patients.dystopia persisted in ¼ (25%) patients. Infection didn’t develop in any of our patient (0%). Visualacuity was not affected in any of the patient (0%). Conclusions: Titanium mesh is a suitablematerial for reconstruction of orbital floor fractures with little complication rate and no donor sitemorbidity.

scholarly journals Three-Dimensional Analysis of Isolated Orbital Floor Fractures Pre- and Post-Reconstruction with Standard Titanium Meshes and “Hybrid” Patient-Specific Implants

2020 ◽  
Vol 9 (5) ◽  
pp. 1579 ◽  
Author(s):  
Guido R. Sigron ◽  
Nathalie Rüedi ◽  
Frédérique Chammartin ◽  
Simon Meyer ◽  
Bilal Msallem ◽  
...  
Keyword(s):  
Intervention Group ◽  
Three Dimensional ◽  
Orbital Floor ◽  
Patient Specific ◽  
Titanium Mesh ◽  
Patient Specific Implants ◽  
Absolute Volume ◽  
Orbital Floor Fractures ◽  
3D Printed ◽  
Volume Difference

The aim of this study was to compare the efficacy of the intraoperative bending of titanium mesh with the efficacy of pre-contoured “hybrid” patient-specific titanium mesh for the surgical repair of isolated orbital floor fractures. In-house 3D-printed anatomical models were used as bending guides. The main outcome measures were preoperative and postoperative orbital volume and surgery time. We performed a retrospective cohort study including 22 patients who had undergone surgery between May 2016 and November 2018. The first twelve patients underwent conventional reconstruction with intraoperative free-hand bending of an orbital floor mesh plate. The subsequent ten patients received pre-contoured plates based on 3D-printed orbital models that were produced by mirroring the non-fractured orbit of the patient using a medical imaging software. We compared the preoperative and postoperative absolute volume difference (unfractured orbit, fractured orbit), the fracture area, the fracture collapse, and the effective surgery time between the two groups. In comparison to the intraoperative bending of titanium mesh, the application of preformed plates based on a 3D-printed orbital model resulted in a non-significant absolute volume difference in the intervention group (p = 0.276) and statistically significant volume difference in the conventional group (p = 0.002). Further, there was a significant reduction of the surgery time (57.3 ± 23.4 min versus 99.8 ± 28.9 min, p = 0.001). The results of this study suggest that the use of 3D-printed orbital models leads to a more accurate reconstruction and a time reduction during surgery.

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