Arch Plast Surg.  2014 Sep;41(5):480-485. 10.5999/aps.2014.41.5.480.

Three-Dimensional Pre-Bent Titanium Implant for Concomitant Orbital Floor and Medial Wall Fractures in an East Asian Population

• Lee KM
• Park JU
• Kwon ST
• Kim SW
• Jeong EC

• KMID: 2267647
• DOI: http://doi.org/10.5999/aps.2014.41.5.480

Abstract

BACKGROUND
The objective of this article is to evaluate clinical outcomes of combined orbital floor and medial wall fracture repair using a three-dimensional pre-bent titanium implant in an East Asian population.
METHODS
Clinical and radiologic data were analyzed for 11 patients with concomitant orbital floor and medial wall fractures. A combined transcaruncular and inferior fornix approach with lateral canthotomy was used for the exposure of fractures. An appropriate three-dimensional preformed titanium implant was selected and inserted according to the characteristics of a given defect.
RESULTS
Follow-up time ranged from 2 to 6 months (median, 4.07 months). All patients had a successful treatment outcome without any complications. Clinically significant enophthalmos was not observed after treatment.
CONCLUSIONS
Three-dimensional pre-bent titanium implants are appropriate for use in the East Asian population, with a high success rate of anatomic restoration of the orbital volume and prevention of enophthalmos in combined orbital floor and medial wall fracture cases.

Keyword

Orbital fractures; Enophthalmos; Orbital implant

MeSH Terms

Asian Continental Ancestry Group*
Enophthalmos
Follow-Up Studies
Humans
Orbit*
Orbital Fractures
Orbital Implants
Titanium*
Treatment Outcome
Titanium