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 |
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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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