대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제21권2호
  • /
  • Pages.99-105
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  • 2020
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Biodegradable implants for orbital wall fracture reconstruction

  • Jang, Hyeon Uk (Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Kim, So Young (Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University School of Medicine)
  • 투고 : 2020.01.01
  • 심사 : 2020.02.20
  • 발행 : 2020.04.20
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초록

Background: Due to the different handling properties of unsintered hydroxyapatite particles/poly-L-lactic acid (uHA/PLLA) and polycaprolactone (PCL), we compared the surgical outcomes and the postoperative implantation accuracy between uHA/PLLA and PCL meshes in orbital fracture repair. Methods: Patients undergoing orbital wall reconstruction with PCL and uHA/PLLA mesh, between 2017 and 2019, were investigated retrospectively. The anatomical accuracy of the implant in bony defect replacement and the functional outcomes such as diplopia, ocular motility, and enophthalmos were evaluated. Results: No restriction of eye movement was reported in any patient (n= 30 for each group), 6 months postoperatively. In the PCL group, no patient showed diplopia or enophthalmos, while the uHA/PLLA group showed two patients with diplopia and one with enophthalmos. Excellent anatomical accuracy of implants was observed in 27 and 22 patients of the PCL and uHA/PLLA groups, respectively. However, this study showed that there were neither any significant differences in the surgical outcomes like diplopia and enophthalmos nor any complications with the two well-known implants. Conclusion: PCL implants and uHA/PLLA implants are safe and have similar levels of complications and surgical outcomes in orbital wall reconstruction.

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참고문헌

  1. Kim SY. Application of the three-dimensionally printed biodegradable polycaprolactone (PCL) mesh in repair of orbital wall fractures. J Craniomaxillofac Surg 2019;47:1065-71. https://doi.org/10.1016/j.jcms.2019.03.009
  2. Young SM, Sundar G, Lim TC, Lang SS, Thomas G, Amrith S. Use of bioresorbable implants for orbital fracture reconstruction. Br J Ophthalmol 2017;101:1080-5. https://doi.org/10.1136/bjophthalmol-2016-309330
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  5. Choi SH, Lee JH. Absorbable plate-related infection after facial bone fracture reduction. Arch Craniofac Surg 2016;17:1-4. https://doi.org/10.7181/acfs.2016.17.1.1
  6. Al-Sukhun J, Tornwall J, Lindqvist C, Kontio R. Bioresorbable poly-L/DL-lactide (P[L/DL]LA 70/30) plates are reliable for repairing large inferior orbital wall bony defects: a pilot study. J Oral Maxillofac Surg 2006;64:47-55.
  7. Teo L, Teoh SH, Liu Y, Lim L, Tan B, Schantz JT, et al. A novel bioresorbable implant for repair of orbital floor fractures. Orbit 2015;34:192-200. https://doi.org/10.3109/01676830.2015.1015263
  8. Ramesh S, Hubschman S, Goldberg R. Resorbable implants for orbital fractures: a systematic review. Ann Plast Surg 2018;81:372-9. https://doi.org/10.1097/SAP.0000000000001504
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  11. Hayashi M, Muramatsu H, Sato M, Tomizuka Y, Inoue M, Yoshimoto S. Surgical treatment of facial fracture by using unsintered hydroxyapatite particles/poly l-lactide composite device (OSTEOTRANS MX((R))): a clinical study on 17 cases. J Craniomaxillofac Surg 2013;41:783-8. https://doi.org/10.1016/j.jcms.2013.01.026
  12. Tatsuta S, Hayashi M, Tokunaka R, Muramatsu H, Kadomatsu K. Analysis of the postoperative absorption process of unsintered hydroxyapatite particles/poly l-lactide composite device (OSTEOTRANS MX((R))) for facial bone fractures in 13 cases. Plast Reconstr Surg Glob Open 2018;6:10-1.
  13. Park YJ, Cha JH, Bang SI, Kim SY. Clinical application of threedimensionally printed biomaterial polycaprolactone (PCL) in augmentation rhinoplasty. Aesthetic Plast Surg 2019;43:437-46. https://doi.org/10.1007/s00266-018-1280-1

피인용 문헌

  1. Does periosteum promote chondrogenesis? A comparison of free periosteal and perichondrial grafts in the regeneration of ear cartilage vol.22, pp.5, 2020, https://doi.org/10.7181/acfs.2021.00423
  2. A Narrative Review of u-HA/PLLA, a Bioactive Resorbable Reconstruction Material: Applications in Oral and Maxillofacial Surgery vol.15, pp.1, 2022, https://doi.org/10.3390/ma15010150