Archives of Plastic Surgery

  • 제41권4호
  • /
  • Pages.355-361
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  • 2014
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Comparison of Absorbable Mesh Plate versus Titanium-Dynamic Mesh Plate in Reconstruction of Blow-Out Fracture: An Analysis of Long-Term Outcomes

  • Baek, Woon Il (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Kim, Han Koo (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Kim, Woo Seob (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine) ;
  • Bae, Tae Hui (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine)
  • 투고 : 2014.02.12
  • 심사 : 2014.04.01
  • 발행 : 2014.07.15
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초록

Background A blow-out fracture is one of the most common facial injuries in midface trauma. Orbital wall reconstruction is extremely important because it can cause various functional and aesthetic sequelae. Although many materials are available, there are no uniformly accepted guidelines regarding material selection for orbital wall reconstruction. Methods From January 2007 to August 2012, a total of 78 patients with blow-out fractures were analyzed. 36 patients received absorbable mesh plates, and 42 patients received titanium-dynamic mesh plates. Both groups were retrospectively evaluated for therapeutic efficacy and safety according to the incidence of three different complications: enophthalmos, extraocular movement impairment, and diplopia. Results For all groups (inferior wall fracture group, medial wall fractrue group, and combined inferomedial wall fracture group), there were improvements in the incidence of each complication regardless of implant types. Moreover, a significant improvement of enophthalmos occurred for both types of implants in group 1 (inferior wall fracture group). However, we found no statistically significant differences of efficacy or complication rate in every groups between both implant types. Conclusions Both types of implants showed good results without significant differences in long-term follow up, even though we expected the higher recurrent enophthalmos rate in patients with absorbable plate. In conclusion, both types seem to be equally effective and safe for orbital wall reconstruction. In particular, both implant types significantly improve the incidence of enophthalmos in cases of inferior orbital wall fractures.

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참고문헌

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피인용 문헌

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  2. Management of impure blowout fractures of orbit using a modified titanium mesh : vol.7, pp.2, 2016, https://doi.org/10.1097/01.omx.0000481451.41984.b9
  3. The Role of Resorbable Plate and Artificial Bone Substitute in Reconstruction of Large Orbital Floor Defect vol.2016, pp.None, 2014, https://doi.org/10.1155/2016/1358312
  4. Considerations for the Management of Medial Orbital Wall Blowout Fracture vol.43, pp.3, 2014, https://doi.org/10.5999/aps.2016.43.3.229
  5. An Examination of 123 Reconstructions of Facial Bone Patients with Titanium Implants: Does Titanium Benefit the Human Body? vol.4, pp.6, 2014, https://doi.org/10.1097/gox.0000000000000739
  6. Anatomical Studies of the Orbital Cavity Using Three-Dimensional Computed Tomography vol.27, pp.6, 2014, https://doi.org/10.1097/scs.0000000000002811
  7. The Efficacy of Bioabsorbable Mesh in Craniofacial Trauma Surgery vol.17, pp.3, 2014, https://doi.org/10.7181/acfs.2016.17.3.135
  8. Orbital floor fractures – short- and intermediate-term complications depending on treatment procedures vol.12, pp.None, 2014, https://doi.org/10.1186/s13005-015-0096-3
  9. Permanent Versus Bioresorbable Implants in Orbital Floor Blowout Fractures vol.34, pp.6, 2018, https://doi.org/10.1097/iop.0000000000001077
  10. Orbital Floor Reconstruction: A Comparison of Outcomes between Absorbable and Permanent Implant Systems vol.12, pp.3, 2019, https://doi.org/10.1055/s-0038-1651514
  11. Clinical usefulness of fixation of absorbable implants with cyanoacrylate in comminuted fractures of the maxilla vol.20, pp.4, 2014, https://doi.org/10.7181/acfs.2019.00325
  12. A novel technique for placing titanium mesh with porous polyethylene via the endoscopic transnasal approach into the orbit for medial orbital wall fractures vol.46, pp.5, 2014, https://doi.org/10.5999/aps.2019.00703
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