J Korean Ophthalmol Soc.  2006 Jul;47(7):1021-1030.

Reconstruction of Orbital Wall Fracture with Resorbable Copolymer Mesh

• Chi MJ
• Jeung JW
• Lee JH

Abstract

PURPOSE: BioSorbFX(R)(BIONX Implant Inc.) and Macropore(R)(Medtronics Inc.) are mesh-type resorbable copolymer plate. This report presents a new model necessary for orbital wall reconstruction, accoding to the operative outcomes of orbital fracture with its use.
METHODS
A follow-up on 11 patients was performed to ascertain the operative effects of the mesh-type resorbable material for 6 months.
RESULTS
The patients were 7 males and 4 females. The patients' average age was 29.7 years and the mean follow-up period was 8.1 months. The most common site of fracture was inferior wall. In these cases, simultaneous fracture of the medial wall and floor was frequently observed. One case showed limitation of ocular movement, diplopias and enophthalmos simultaneously; 3 cases, enophthalmos and diplopia; 5 cases showed limitation of ocular movement and diplopia; and 2 cases, considerable possibility or the presence of enophthalmos due to extended fracture size. The cases improved remarkably after being operated and none were observed to have worsened. Moreover, serious complications, such as visual loss, the infection of implants, dislocation, exposure, etc., were not observed.
CONCLUSIONS
Altogether, it is considered that the mesh-type resorbable copolymer plate may be safely used in orbital wall reconstruction without conspicuous complication.

Keyword

Orbital wall fracture; Resorbable implant

MeSH Terms

Diplopia
Dislocations
Enophthalmos
Female
Follow-Up Studies
Humans
Male
Orbit*
Orbital Fractures