Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Correction of the Traumatic Enophthalmos Using Titanium Reinforced Porous Polyethylene

티타늄 강화 다공성 폴리에틸렌을 이용한 외상성 안구 함몰의 교정

  • Lee, Jae-Yeol (Department of Oral and Maxillofacial Surgery, Pusan National University School of Dentistry) ;
  • Kim, Yong-Deok (Department of Oral and Maxillofacial Surgery, Pusan National University School of Dentistry) ;
  • Shin, Sang-Hun (Department of Oral and Maxillofacial Surgery, Pusan National University School of Dentistry) ;
  • Kim, Uk-Kyu (Department of Oral and Maxillofacial Surgery, Pusan National University School of Dentistry) ;
  • Chung, In-Kyo (Department of Oral and Maxillofacial Surgery, Pusan National University School of Dentistry) ;
  • Hwang, Dae-Seok (Department of Oral and Maxillofacial Surgery, Pusan National University School of Dentistry)
  • 이재열 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김용덕 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김욱규 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정인교 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 황대석 (부산대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2013.02.18
  • Accepted : 2013.05.15
  • Published : 2013.05.31
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Abstract

Post-traumatic enophthalmos is a relatively common problem following orbitozygomatic fractures. Bony-volume expansion and soft tissue atrophy are considered the main etiological causes of this condition. Enophthalmos is corrected mostly through reducing the enlarged orbit volume. Autogenous graft and various alloplastic materials are used for this purpose. Porous polyethylene is highly biocompatible, durable, and remarkably stable. Also, the titanium plate embedded in a porous polyethylene sheet provides radiographic visibility and increased sheet strength and contour retention. We present experiences of titanium reinforced porous polyethylene for correction of the traumatic enophthalmos with literature review.

Keywords

References

  1. Manson PN, Grivas A, Rosenbaum A, et al. Studies on enophthalmos: II. The measurement of orbital injuries and their treatment by quantitative computed tomography. Plast Reconstr Surg 1986;77:203-14. https://doi.org/10.1097/00006534-198602000-00005
  2. Bite U, Jackson IT, Forbes GS, Gehring DG. Orbital volume measurements in enophthalmos using three-dimensional CT imaging. Plast Reconstr Surg 1985;75:502-8. https://doi.org/10.1097/00006534-198504000-00009
  3. Romano JJ, Iliff NT, Manson PN. Use of Medpor porous polyethylene implants in 140 patients with facial fractures. J Craniofac Surg 1993;4:142-7. https://doi.org/10.1097/00001665-199307000-00007
  4. Siddique SA, Mathog RH. A comparison of parietal and iliac crest bone grafts for orbital reconstruction. J Oral Maxillofac Surg 2002;60:44-50. https://doi.org/10.1053/joms.2002.29072
  5. Castellani A, Negrini S, Zanetti U. Treatment of orbital floor blowout fractures with conchal auricular cartilage graft: a report on 14 cases. J Oral Maxillofac Surg 2002;60:1413-7. https://doi.org/10.1053/joms.2002.36094
  6. Gear AJ, Lokeh A, Aldridge JH, Migliori MR, Benjamin CI, Schubert W. Safety of titanium mesh for orbital reconstruction. Ann Plast Surg 2002;48:1-7. https://doi.org/10.1097/00000637-200201000-00001
  7. Choi JC, Sims CD, Casanova R, Shore JW, Yaremchuk MJ. Porous polyethylene implant for orbital wall reconstruction. J Craniomaxillofac Trauma 1995;1:42-9.
  8. Mwanza JC, Ngoy DK, Kayembe DL. Reconstruction of orbital floor blow-out fractures with silicone implant. Bull Soc Belge Ophtalmol 2001;(280):57-61.
  9. Manson PN, Clifford CM, Su CT, Iliff NT, Morgan R. Mechanisms of global support and posttraumatic enophthalmos: I. The anatomy of the ligament sling and its relation to intramuscular cone orbital fat. Plast Reconstr Surg 1986;77:193-202. https://doi.org/10.1097/00006534-198602000-00004
  10. Cunningham LL, Peterson GP, Haug RH. The relationship between enophthalmos, linear displacement, and volume change in experimentally recreated orbital fractures. J Oral Maxillofac Surg 2005;63:1169-73. https://doi.org/10.1016/j.joms.2005.04.029
  11. Ploder O, Klug C, Voracek M, Burggasser G, Czerny C. Evaluation of computer-based area and volume measurement from coronal computed tomography scans in isolated blowout fractures of the orbital floor. J Oral Maxillofac Surg 2002;60:1267-72. https://doi.org/10.1053/joms.2002.35722
  12. Zhang Z, Zhang Y, He Y, An J, Zwahlen RA. Correlation between volume of herniated orbital contents and the amount of enophthalmos in orbital floor and wall fractures. J Oral Maxillofac Surg 2012;70:68-73. https://doi.org/10.1016/j.joms.2011.02.036
  13. Hammer B, Prein J. Correction of post-traumatic orbital deformities: operative techniques and review of 26 patients. J Craniomaxillofac Surg 1995;23:81-90. https://doi.org/10.1016/S1010-5182(05)80453-6
  14. Hammer B, editor. Orbital fractures; diagnosis, operative treatment, secondary corrections. Seattle: Hogreffe and Huber;1995.
  15. Young VL, Schuster RH, Harris LW. Intracerebral hematoma complicating split calvarial bone-graft harvesting. Plast Reconstr Surg 1990;86:763-5. https://doi.org/10.1097/00006534-199010000-00029
  16. Lin KY, Bartlett SP, Yaremchuk MJ, Fallon M, Grossman RF, Whitaker LA. The effect of rigid fixation on the survival of onlay bone grafts: an experimental study. Plast Reconstr Surg 1990;86:449-56. https://doi.org/10.1097/00006534-199009000-00010
  17. Potter JK, Ellis E. Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg 2004;62:1280-97. https://doi.org/10.1016/j.joms.2004.04.018
  18. Wellisz T, Lawrence M, Jazayeri MA, Golshani S, Zhou ZY. The effects of alloplastic implant onlays on bone in the rabbit mandible. Plast Reconstr Surg 1995;96:957-63. https://doi.org/10.1097/00006534-199509001-00029