Two-year follow-up on the use of absorbable mesh plates in the treatment of medial orbital wall fractures

Jae Pil You, Deok-Woo Kim, Byung Joon Jeon, Seong-Ho Jeong, Seung-Kyu Han, Eun-Sang Dhong, Woo-Kyung Kim

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background Absorbable materials offer many advantages in the reconstruction of orbital walls; however, the possibility of postoperative enophthalmos after complete absorption cannot be excluded. We evaluated the postoperative results of absorbable mesh plates used as onlay implanting on the medial orbital wall to determine whether they are suitable for medial orbital wall reconstruction. Methods The study included 20 patients with medial orbital wall fractures who were followed up for more than 2 years postoperatively. We used absorbable mesh plates in all of the patients. We measured the following: the changes in the expanded orbital volume by comparing the preoperative and postoperative computed tomography (CT) scans and the degree of clinical enophthalmos. Results There were no major complications associated with the use of absorbable materials such as infection, migration, or extrusion of mesh plates during the long-term follow-up. The orbital volumetric changes between the preoperative and postoperative CT scans were not statistically significant. However, the expanded orbital volume was not related to the degree of clinical enophthalmos. Conclusions The reconstructed orbital wall may provide supportive scar tissue to the orbital contents even after the absorbable materials have dissolved completely. Absorbable mesh plates could be another option for the reconstruction of the medial orbital wall.

Original languageEnglish
Pages (from-to)728-734
Number of pages7
JournalArchives of Plastic Surgery
Volume40
Issue number6
DOIs
Publication statusPublished - 2013 Nov 1

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Enophthalmos
Orbital Fractures
Tomography
Inlays
Cicatrix
Therapeutics
Infection

Keywords

  • Absorbable implants
  • Follow-up studies
  • Orbital fractures

ASJC Scopus subject areas

  • Surgery

Cite this

Two-year follow-up on the use of absorbable mesh plates in the treatment of medial orbital wall fractures. / You, Jae Pil; Kim, Deok-Woo; Jeon, Byung Joon; Jeong, Seong-Ho; Han, Seung-Kyu; Dhong, Eun-Sang; Kim, Woo-Kyung.

In: Archives of Plastic Surgery, Vol. 40, No. 6, 01.11.2013, p. 728-734.

Research output: Contribution to journalArticle

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AU - Jeong, Seong-Ho

AU - Han, Seung-Kyu

AU - Dhong, Eun-Sang

AU - Kim, Woo-Kyung

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N2 - Background Absorbable materials offer many advantages in the reconstruction of orbital walls; however, the possibility of postoperative enophthalmos after complete absorption cannot be excluded. We evaluated the postoperative results of absorbable mesh plates used as onlay implanting on the medial orbital wall to determine whether they are suitable for medial orbital wall reconstruction. Methods The study included 20 patients with medial orbital wall fractures who were followed up for more than 2 years postoperatively. We used absorbable mesh plates in all of the patients. We measured the following: the changes in the expanded orbital volume by comparing the preoperative and postoperative computed tomography (CT) scans and the degree of clinical enophthalmos. Results There were no major complications associated with the use of absorbable materials such as infection, migration, or extrusion of mesh plates during the long-term follow-up. The orbital volumetric changes between the preoperative and postoperative CT scans were not statistically significant. However, the expanded orbital volume was not related to the degree of clinical enophthalmos. Conclusions The reconstructed orbital wall may provide supportive scar tissue to the orbital contents even after the absorbable materials have dissolved completely. Absorbable mesh plates could be another option for the reconstruction of the medial orbital wall.

AB - Background Absorbable materials offer many advantages in the reconstruction of orbital walls; however, the possibility of postoperative enophthalmos after complete absorption cannot be excluded. We evaluated the postoperative results of absorbable mesh plates used as onlay implanting on the medial orbital wall to determine whether they are suitable for medial orbital wall reconstruction. Methods The study included 20 patients with medial orbital wall fractures who were followed up for more than 2 years postoperatively. We used absorbable mesh plates in all of the patients. We measured the following: the changes in the expanded orbital volume by comparing the preoperative and postoperative computed tomography (CT) scans and the degree of clinical enophthalmos. Results There were no major complications associated with the use of absorbable materials such as infection, migration, or extrusion of mesh plates during the long-term follow-up. The orbital volumetric changes between the preoperative and postoperative CT scans were not statistically significant. However, the expanded orbital volume was not related to the degree of clinical enophthalmos. Conclusions The reconstructed orbital wall may provide supportive scar tissue to the orbital contents even after the absorbable materials have dissolved completely. Absorbable mesh plates could be another option for the reconstruction of the medial orbital wall.

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