Comparison of Resorbable Mesh (Poly L-Lactide/Glycolic Acid) and Porous Polyethylene in Orbital Floor Fractures in an Experimental Model
Background: Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks reports comparing their long-term effects on experimental models. Objective: Our aim was to radiologically and histologically evaluat...
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| Published in | Canadian journal of plastic surgery Vol. 25; no. 3; pp. 163 - 170 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English French |
| Published |
Los Angeles, CA
SAGE Publications
01.08.2017
SAGE PUBLICATIONS, INC |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Background:
Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks reports comparing their long-term effects on experimental models.
Objective:
Our aim was to radiologically and histologically evaluate the effectiveness and safety of porous polyethylene and resorbable mesh in a rabbit orbital blowout fracture model.
Methods:
Twelve New Zealand white rabbits (24 orbits) were randomized to 4 groups. In group 1, only orbital floor dissection was done. In group 2, following orbital floor dissection, a 10-mm defect was created without any extra procedure. In group 3, following a 10-mm defect creation, a 12-mm-round cut porous polyethylene was placed on the defect. In group 4, following a 10-mm defect creation, a 12-mm-round cut resorbable mesh was placed on the defect. Computed tomographic analysis was performed during follow-up period. Orbital floors were evaluated histologically at month 6.
Results:
No clinical complications were observed during follow-up period. In radiological evaluation, there was no statistically significant difference between groups regarding bone formation. In histological evaluation, the connective tissue was denser, and organized and better bone formation was observed in group 3 and 4 when compared with other groups.
Conclusion:
Although no significant radiological changes were present, porous polyethylene and resorbable mesh performed better histologically. They were effective and well tolerated for reconstruction of the isolated orbital floor defects. |
|---|---|
| AbstractList | Background:
Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks reports comparing their long-term effects on experimental models.
Objective:
Our aim was to radiologically and histologically evaluate the effectiveness and safety of porous polyethylene and resorbable mesh in a rabbit orbital blowout fracture model.
Methods:
Twelve New Zealand white rabbits (24 orbits) were randomized to 4 groups. In group 1, only orbital floor dissection was done. In group 2, following orbital floor dissection, a 10-mm defect was created without any extra procedure. In group 3, following a 10-mm defect creation, a 12-mm-round cut porous polyethylene was placed on the defect. In group 4, following a 10-mm defect creation, a 12-mm-round cut resorbable mesh was placed on the defect. Computed tomographic analysis was performed during follow-up period. Orbital floors were evaluated histologically at month 6.
Results:
No clinical complications were observed during follow-up period. In radiological evaluation, there was no statistically significant difference between groups regarding bone formation. In histological evaluation, the connective tissue was denser, and organized and better bone formation was observed in group 3 and 4 when compared with other groups.
Conclusion:
Although no significant radiological changes were present, porous polyethylene and resorbable mesh performed better histologically. They were effective and well tolerated for reconstruction of the isolated orbital floor defects. BACKGROUNDResorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks reports comparing their long-term effects on experimental models. OBJECTIVEOur aim was to radiologically and histologically evaluate the effectiveness and safety of porous polyethylene and resorbable mesh in a rabbit orbital blowout fracture model. METHODSTwelve New Zealand white rabbits (24 orbits) were randomized to 4 groups. In group 1, only orbital floor dissection was done. In group 2, following orbital floor dissection, a 10-mm defect was created without any extra procedure. In group 3, following a 10-mm defect creation, a 12-mm-round cut porous polyethylene was placed on the defect. In group 4, following a 10-mm defect creation, a 12-mm-round cut resorbable mesh was placed on the defect. Computed tomographic analysis was performed during follow-up period. Orbital floors were evaluated histologically at month 6. RESULTSNo clinical complications were observed during follow-up period. In radiological evaluation, there was no statistically significant difference between groups regarding bone formation. In histological evaluation, the connective tissue was denser, and organized and better bone formation was observed in group 3 and 4 when compared with other groups. CONCLUSIONAlthough no significant radiological changes were present, porous polyethylene and resorbable mesh performed better histologically. They were effective and well tolerated for reconstruction of the isolated orbital floor defects. Background: Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks reports comparing their long-term effects on experimental models. Objective: Our aim was to radiologically and histologically evaluate the effectiveness and safety of porous polyethylene and resorbable mesh in a rabbit orbital blowout fracture model. Methods: Twelve New Zealand white rabbits (24 orbits) were randomized to 4 groups. In group 1, only orbital floor dissection was done. In group 2, following orbital floor dissection, a 10-mm defect was created without any extra procedure. In group 3, following a 10-mm defect creation, a 12-mm-round cut porous polyethylene was placed on the defect. In group 4, following a 10-mm defect creation, a 12-mm-round cut resorbable mesh was placed on the defect. Computed tomographic analysis was performed during follow-up period. Orbital floors were evaluated histologically at month 6. Results: No clinical complications were observed during follow-up period. In radiological evaluation, there was no statistically significant difference between groups regarding bone formation. In histological evaluation, the connective tissue was denser, and organized and better bone formation was observed in group 3 and 4 when compared with other groups. Conclusion: Although no significant radiological changes were present, porous polyethylene and resorbable mesh performed better histologically. They were effective and well tolerated for reconstruction of the isolated orbital floor defects. Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks reports comparing their long-term effects on experimental models. Our aim was to radiologically and histologically evaluate the effectiveness and safety of porous polyethylene and resorbable mesh in a rabbit orbital blowout fracture model. Twelve New Zealand white rabbits (24 orbits) were randomized to 4 groups. In group 1, only orbital floor dissection was done. In group 2, following orbital floor dissection, a 10-mm defect was created without any extra procedure. In group 3, following a 10-mm defect creation, a 12-mm-round cut porous polyethylene was placed on the defect. In group 4, following a 10-mm defect creation, a 12-mm-round cut resorbable mesh was placed on the defect. Computed tomographic analysis was performed during follow-up period. Orbital floors were evaluated histologically at month 6. No clinical complications were observed during follow-up period. In radiological evaluation, there was no statistically significant difference between groups regarding bone formation. In histological evaluation, the connective tissue was denser, and organized and better bone formation was observed in group 3 and 4 when compared with other groups. Although no significant radiological changes were present, porous polyethylene and resorbable mesh performed better histologically. They were effective and well tolerated for reconstruction of the isolated orbital floor defects. |
| Author | Özmen, Selahattin Uygur, Safak Coskun, Neslihan Kılıc, Koray Aral, Ali Mubin Kaya, Basar Ömeroglu, Suna |
| AuthorAffiliation | 3 Department of Plastic Surgery, Ufuk University, Ankara, Turkey 5 Department of Radiology, Gazi University School of Medicine, Ankara, Turkey 2 Department of Plastic Surgery, Koc University School of Medicine, İstanbul, Turkey 4 Department of Histology/Embryology, Gazi University School of Medicine, Ankara, Turkey 1 Department of Plastic Surgery, Yenimahalle Research and Training Hospital, Yıldırım Beyazıt University, Ankara, Turkey |
| AuthorAffiliation_xml | – name: 2 Department of Plastic Surgery, Koc University School of Medicine, İstanbul, Turkey – name: 1 Department of Plastic Surgery, Yenimahalle Research and Training Hospital, Yıldırım Beyazıt University, Ankara, Turkey – name: 5 Department of Radiology, Gazi University School of Medicine, Ankara, Turkey – name: 4 Department of Histology/Embryology, Gazi University School of Medicine, Ankara, Turkey – name: 3 Department of Plastic Surgery, Ufuk University, Ankara, Turkey |
| Author_xml | – sequence: 1 givenname: Ali Mubin orcidid: 0000-0002-2126-5580 surname: Aral fullname: Aral, Ali Mubin email: mubinaral@gmail.com – sequence: 2 givenname: Selahattin surname: Özmen fullname: Özmen, Selahattin – sequence: 3 givenname: Safak surname: Uygur fullname: Uygur, Safak – sequence: 4 givenname: Basar surname: Kaya fullname: Kaya, Basar – sequence: 5 givenname: Neslihan surname: Coskun fullname: Coskun, Neslihan – sequence: 6 givenname: Suna surname: Ömeroglu fullname: Ömeroglu, Suna – sequence: 7 givenname: Koray surname: Kılıc fullname: Kılıc, Koray |
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Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The... Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature lacks... Background: Resorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The... BACKGROUNDResorbable mesh and porous polyethylene are frequently used alloplastic materials for the treatment of the orbital blowout fractures. The literature... |
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| StartPage | 163 |
| SubjectTerms | Defects Dissection Fractures Histology Laboratory animals Original Performance evaluation Polyethylene Rabbits Radiology Statistical analysis Transplants & implants |
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| Title | Comparison of Resorbable Mesh (Poly L-Lactide/Glycolic Acid) and Porous Polyethylene in Orbital Floor Fractures in an Experimental Model |
| URI | https://journals.sagepub.com/doi/full/10.1177/2292550317702370 https://www.ncbi.nlm.nih.gov/pubmed/29026821 https://www.proquest.com/docview/2102834125 https://www.proquest.com/docview/2423783190 https://search.proquest.com/docview/1951568321 https://pubmed.ncbi.nlm.nih.gov/PMC5626203 |
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