Three-dimensionally preformed titanium mesh plates for posttraumatic complex orbital bone fracture reconstruction

• Published in: Chung-hua yen k'o tsa chih Vol. 47; no. 8; p. 683
• Main Authors: Bi, Xiao-ping, Fan, Xian-qun, Shi, Wo-dong, Zhou, Hui-fang, Lin, Ming, Li, Zheng-kang
• Format: Journal Article
• Language: Chinese
• Published: China 01.08.2011
• Subjects: Adolescent; Adult; Child; Female; Fracture Fixation, Internal - methods; Humans; Male; Middle Aged; Orbit - surgery; Orbital Fractures - surgery; Retrospective Studies; Titanium; Treatment Outcome; Young Adult
• ISSN: 0412-4081
• DOI: 10.3760/cma.j.issn.0412-4081.2011.08.004

To evaluate the outcomes of the clinical application of three-dimensionally preformed titanium mesh plates for posttraumatic complex orbital bone fracture reconstruction. Thirteen patients (13 eyes) manifested with complex orbital fractures (including orbital-zygomatic-maxillary bone fracture in 6 patients, nasal-orbital-ethmoid bone fracture in 5 patients and complex multiple periorbital bone fracture in other 2 patients) underwent the reconstructive surgery by using three-dimensionally preformed titanium mesh plates. Eight cases underwent high density porous polyethylene implantation simultaneously. Evaluation of enophthalmos, eyeball movement, and orbit CT scan were taken pre- and post-operatively. The average enophthalmos was (3.9 ± 1.7) mm and the position of the affected eyeball was (3.1 ± 2.6) mm bellow the contralateral side preoperatively. Twelve patients suffered from eyeball movement restriction, including grade I in 4 cases, grade II in 7 cases and grade III in 2 cases. During the 3 to 6 months po