Citation:Yi WS,Xu XL,Ma JR,Ou XR.Reconstruction of complex orbital fracture with titanium implants.Int J Ophthalmol 2012;5(4):488-492,doi:10.3980/j.issn.2222-3959.2012.04.16
Reconstruction of complex orbital fracture with titanium implants
Received:August 24, 2011  Revised:July 20, 2012
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DOI:10.3980/j.issn.2222-3959.2012.04.16
Key Words:complex orbital fractures  titanium  reconstruction
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Wen-Shu Yi Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha , Hunan Province, China
Xue-Liang Xu Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha , Hunan Province, China
Jian-Rong Ma Department of Neurologic, Xiangya Hospital, Central South University, Changsha , Hunan Province, China
Xin-Rong Ou Department of Oral and Maxillofacial, Xiangya Hospital, Central South University, Changsha , Hunan Province, China
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Abstract:
      AIM: To evaluate the effectiveness and safety of complex orbital fracture reconstruction with titanium implants.

    METHODS: A retrospective review of 46 patients treated with complex orbital fractures reconstruction using titanium implants from January 2005 to December 2008 was conducted. The following data were recorded: age, gender, mechanism of injury, preoperative and postoperative orbital CT, visual acuity, diplopia, ocular motility and Hertel exophthalmometer.

    RESULTS: The most common cause was motor vehicle accident (47.8%), followed by industrial injury (30.4%). All patients had improved appearance after operation and CT scan at one week after operation showed the fracture defects of orbit and neighboring areas had been reconstructed. Forty-six cases had various degrees of enophthalmos before operation. Among them, 32 cases were completely corrected, 11 cases improved obviously and 3 cases had no improvement after operation. Thirty-six patients with visual acuity ≥20/60 revealed diplopia of various degrees, including 26 patients had diplopia in right ahead and/or reading positions. At the sixth month after operation, diplopia disappeared in five patients, 7 patients still had diplopia in right ahead and/or reading positions, 14 patients had diplopia in positions rather than right ahead and reading positions (<20°) and ten patients had diplopia only at peripheral gazing (>20°). All patients had various degrees of ocular motility disorders before operation. At the sixth month after operation, eyeball movement disorder disappeared in 9 patients, 31 patients showed improvement and 6 patients had no improvement. Complications of implant infection, rejection and displacement were not reported after operation.

    CONCLUSION: The application of titanium implants in the repair of complex orbital fractures greatly improves the appearance and functional results, which is a favorable material for plastic surgery of complex orbital fracture.

PMC FullText Html:http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3428547/
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