Korean J Otolaryngol-Head Neck Surg.  1998 Oct;41(10):1291-1295.

Reconstruction of Traumatic Orbital Defects Using Porous Polyethylene Sheet

• Jin HR
• Shin SO
• Choo MJ
• Yoo IS

Abstract

BACKGROUND AND OBJECTIVES: Among the various alloplastic materials which are used in reconstruction of the traumatic orbital defects, porous polyethylene sheets (PPSs) are increasingly used due to their improved biocompatibility, easy malleability, and minimal complication. We report our experience with PPSs in reconstruction of the traumatic orbital defects.
MATERIALS AND METHODS
PPSs (0.85 mm or 1.5 mm) were used in 23 patients with significant traumatic orbital defects. Twenty patients were treated for orbital floor defects, 2 for medial wall defects, and 1 for both floor and medial wall defects. Their surgical results and postoperative complications were studied. Their mean follow-up period was 18 months.
RESULTS
Postoperatively, diplopia or limitation of eye movements were resolved in 11 of 17 patients and enophthalmos in 6 of 9 patients. No patients had induced diplopia or exacerbation of preoperative symptoms. There were no complications like graft extrusion, infection, clinically detectable graft distortion, or resorption.
CONCLUSION
PPS appears to be an excellent material for reconstruction of the traumatic orbital defects.

Keyword

Porous polyethylene sheet; Traumatic orbital defect

MeSH Terms

Diplopia
Enophthalmos
Eye Movements
Follow-Up Studies
Humans
Orbit*
Polyethylene*
Postoperative Complications
Transplants
Polyethylene