Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures
Background Absorbable materials offer many advantages in the reconstruction of orbital walls; however, the possibility of postoperative enophthalmos after complete absorption cannot be excluded. We evaluated the postoperative results of absorbable mesh plates used as onlay implanting on the medial...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2013-11-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.6.728 |
| _version_ | 1811298226546933760 |
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| author | Jae-Pil You Deok-Woo Kim Byung-Joon Jeon Seong-Ho Jeong Seung-Kyu Han Eun-Sang Dhong Woo-Kyung Kim |
| author_facet | Jae-Pil You Deok-Woo Kim Byung-Joon Jeon Seong-Ho Jeong Seung-Kyu Han Eun-Sang Dhong Woo-Kyung Kim |
| author_sort | Jae-Pil You |
| collection | DOAJ |
| description | Background Absorbable materials offer many advantages in the reconstruction of orbital walls; however, the possibility of postoperative enophthalmos after complete absorption cannot be excluded. We evaluated the postoperative results of absorbable mesh plates used as onlay implanting on the medial orbital wall to determine whether they are suitable for medial orbital wall reconstruction.
Methods The study included 20 patients with medial orbital wall fractures who were followed up for more than 2 years postoperatively. We used absorbable mesh plates in all of the patients. We measured the following: the changes in the expanded orbital volume by comparing the preoperative and postoperative computed tomography (CT) scans and the degree of clinical enophthalmos.
Results There were no major complications associated with the use of absorbable materials such as infection, migration, or extrusion of mesh plates during the long-term follow-up. The orbital volumetric changes between the preoperative and postoperative CT scans were not statistically significant. However, the expanded orbital volume was not related to the degree of clinical enophthalmos.
Conclusions The reconstructed orbital wall may provide supportive scar tissue to the orbital contents even after the absorbable materials have dissolved completely. Absorbable mesh plates could be another option for the reconstruction of the medial orbital wall. |
| first_indexed | 2024-04-13T06:16:22Z |
| format | Article |
| id | doaj.art-86f0bdd1c816421fa3ab94af0c4defa7 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T06:16:22Z |
| publishDate | 2013-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-86f0bdd1c816421fa3ab94af0c4defa72022-12-22T02:58:49ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-11-01400672873410.5999/aps.2013.40.6.728282Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall FracturesJae-Pil You0Deok-Woo Kim1Byung-Joon Jeon2Seong-Ho Jeong3Seung-Kyu Han4Eun-Sang Dhong5Woo-Kyung Kim6Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, KoreaBackground Absorbable materials offer many advantages in the reconstruction of orbital walls; however, the possibility of postoperative enophthalmos after complete absorption cannot be excluded. We evaluated the postoperative results of absorbable mesh plates used as onlay implanting on the medial orbital wall to determine whether they are suitable for medial orbital wall reconstruction. Methods The study included 20 patients with medial orbital wall fractures who were followed up for more than 2 years postoperatively. We used absorbable mesh plates in all of the patients. We measured the following: the changes in the expanded orbital volume by comparing the preoperative and postoperative computed tomography (CT) scans and the degree of clinical enophthalmos. Results There were no major complications associated with the use of absorbable materials such as infection, migration, or extrusion of mesh plates during the long-term follow-up. The orbital volumetric changes between the preoperative and postoperative CT scans were not statistically significant. However, the expanded orbital volume was not related to the degree of clinical enophthalmos. Conclusions The reconstructed orbital wall may provide supportive scar tissue to the orbital contents even after the absorbable materials have dissolved completely. Absorbable mesh plates could be another option for the reconstruction of the medial orbital wall.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.6.728absorbable implantsorbital fracturesfollow-up studies |
| spellingShingle | Jae-Pil You Deok-Woo Kim Byung-Joon Jeon Seong-Ho Jeong Seung-Kyu Han Eun-Sang Dhong Woo-Kyung Kim Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures Archives of Plastic Surgery absorbable implants orbital fractures follow-up studies |
| title | Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures |
| title_full | Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures |
| title_fullStr | Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures |
| title_full_unstemmed | Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures |
| title_short | Two-Year Follow-up on the Use of Absorbable Mesh Plates in the Treatment of Medial Orbital Wall Fractures |
| title_sort | two year follow up on the use of absorbable mesh plates in the treatment of medial orbital wall fractures |
| topic | absorbable implants orbital fractures follow-up studies |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2013.40.6.728 |
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