Medial orbital wall reconstruction with flexible Ethisorb patches.

Abstract

OBJECTIVES:

The aim of this study was to analyse the long-term result after reconstruction of the medial orbital wall with a flexible, biodegradable material (Ethisorb).

MATERIALS AND METHODS:

During a period of almost 8 years, 31 patients with a medial orbital wall fracture were analysed retrospectively. Inclusion criteria were patients with a maximum size fracture of the orbital medial wall measuring 1.5-2 cm(2). Exophthalmos, enophthalmos, bulbus motility, diplopia and skin sensation were investigated over a period of 6 months. In all patients, the medial orbital wall was reconstructed with Ethisorb patches.

RESULTS:

No significant intraoperative complications were detected. No postoperative infection, abscess or seroma was found in any of the patients receiving an Ethisorb patch.

CONCLUSIONS:

The advantage of the semiflexibility of the Ethisorb patch is that it supplies an anatomically correct fit to the orbital medial wall but does not require fixation by screws or the use of sutures.

CLINICAL RELEVANCE:

The low rate of reported bulbus motility disturbance, diplopia, exophthalmos and enophthalmos demonstrates acceptable results after medial orbital wall reconstruction using the Ethisorb patch.

• Authors: P Pohlenz, W Adler, L Li, R Schmelzle, J Klatt
• Journal: Clinical oral investigations (Clin Oral Investig) Vol. 17 Issue 2 Pg. 511-6 (Mar 2013) ISSN: 1436-3771 [Electronic] Germany
• PMID: 22427041 (Publication Type: Journal Article)

Chemical References

• Biocompatible Materials
• Ethisorb
• Polyglycolic Acid

Topics

• Absorbable Implants
• Adolescent
• Adult
• Aged
• Biocompatible Materials (chemistry)
• Cone-Beam Computed Tomography (methods)
• Diplopia (etiology, therapy)
• Enophthalmos (etiology, therapy)
• Exophthalmos (etiology, therapy)
• Female
• Follow-Up Studies
• Humans
• Intraoperative Care
• Male
• Middle Aged
• Ocular Motility Disorders (etiology, therapy)
• Orbital Fractures (complications, surgery)
• Polyglycolic Acid (chemistry)
• Prosthesis Implantation (methods)
• Plastic Surgery Procedures (instrumentation, methods)
• Retrospective Studies
• Sensation (physiology)
• Skin (innervation)
• Treatment Outcome
• Young Adult