J Korean Ophthalmol Soc > Volume 50(8); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(8):1133-1140.
DOI: https://doi.org/10.3341/jkos.2009.50.8.1133    Published online August 15, 2009.
Porous Polyethylene/Titanium Implants in the Treatment of Large Orbital Fractures.
Chan Jeon, Jae Ho Shin, Kyung In Woo, Yoon Duck Kim
1Department of Ophthalmology, Hangang Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.
2Department of Ophthalmology, East-West Neo Medical Center, KyungHee University College of Medicine, Seoul, Korea.
3Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ydkimoph@skku.edu
다공성 폴리에틸렌/티타늄 삽입물을 이용한 안와골절의 치료
전 찬1ㆍ신재호2ㆍ우경인3ㆍ김윤덕3
Department of Ophthalmology, Hangang Sacred Heart Hospital, College of Medicine, Hallym University1, Seoul, Korea / Department of Ophthalmology, East-West Neo Medical Center, KyungHee University College of Medicine2, Seoul, Korea / Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine3, Seoul, Korea
Abstract
PURPOSE
We present our experience with porous polyethylene/titanium implants in large orbital fractures that are difficult to repair with conventional orbital implants. METHODS: A retrospective analysis was performed on seven patients who underwent repair of orbital fractures using porous polyethylene/titanium implants from September 2005 to December 2007. RESULTS: The average age of the seven patients was 33.3 years, including two males and five females. The mean follow-up period was 5.4 months. Six cases had combined medial and inferior wall fractures, and one case had a large inferior wall fracture. Fractures were all large enough to encompass over 50% of the associated walls. After surgery, ocular motility disturbance and diplopia improved significantly. Enophthalmos improved from a mean of 2.9 mm to 0.6 mm postoperatively. No complications occurred such as visual loss, implant exposure or migration, or orbital infection. CONCLUSIONS: Porous polyethylene/titanium implants are effective and safe for the repair of large orbital fractures without the help of microscrews or microplates.
Key Words: Large orbital fracture;Porous polyethylene;Titanium


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