Reconstruction of orbital floor fracture with polyglactin 910/polydioxanon patch (ethisorb): a retrospective study.

Abstract

PURPOSE:

We sought to evaluate the effectiveness and the complications related to the use of Ethisorb (resorbable alloplastic material) in the reconstruction of orbital floor fractures.

PATIENTS AND METHODS:

We retrospectively reviewed the charts of all patients who underwent orbital floor fracture reconstruction with Ethisorb since 2001. We only included patients with a minimum follow-up of 3 months. The following data were recorded for every patient: age, gender, cause of trauma, time from trauma to surgery, signs and symptoms, concomitant ocular injuries, radiographic analysis, pertinent intraoperative findings (including the type of approach), follow-up time, and postoperative complications.

RESULTS:

Eighty-seven patients were included in the study. Twenty-one patients (24.1%) experienced postoperative complications. Of these, only 3 patients (3.4%) had permanent complications directly related to the Ethisorb membrane (diplopia, enophthalmos). Two of these patients required revision surgery and are discussed in the article.

CONCLUSIONS:

The results of our study demonstrate the effectiveness of Ethisorb in the repair of small-to-moderate orbital floor fracture defects (up to a maximum size of 2 x 2 cm).

• Authors: Pascal Büchel, Akram Rahal, Ichiro Seto, Tateyuki Iizuka
• Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg) Vol. 63 Issue 5 Pg. 646-50 (May 2005) ISSN: 0278-2391 [Print] United States
• PMID: 15883939 (Publication Type: Evaluation Study, Journal Article)

Chemical References

• Bone Substitutes
• Ethisorb
• Polyesters
• Polyglycolic Acid
• Polydioxanone
• Polyglactin 910

Topics

• Absorbable Implants
• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Bone Substitutes (therapeutic use)
• Child
• Diplopia (therapy)
• Enophthalmos (surgery)
• Female
• Humans
• Male
• Middle Aged
• Orbit (surgery)
• Orbital Fractures (surgery)
• Polydioxanone (therapeutic use)
• Polyesters (therapeutic use)
• Polyglactin 910 (therapeutic use)
• Polyglycolic Acid (therapeutic use)
• Postoperative Complications
• Retreatment
• Retrospective Studies