A Review of Materials Currently Used in Orbital Floor Reconstruction

Mok, David; Lessard, Lucie; Cordoba, Carlos; Harris, Patrick G.; Nikolis, Andreas

doi:10.1177/229255030401200302

Cited by 62 publications

(66 citation statements)

References 64 publications

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“…Bone is not always easy to form into the desired shape and can break if it is bent beyond its capacity (Mok et al, 2004). The auricular concha and the nasal septum are among the sources of autogenous cartilage, but their main limiting factor is donor tissue availability.…”

Section: Discussionmentioning

confidence: 99%

“…lyophilized cartilage, banked bone, and fascia lata (Mok et al, 2004). Reports on the risk of infectious disease transmission (such as Creutzfeldt-Jakob disease) have been associated with cadaveric allografts.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

“…According to several studies and reviews concerning the reconstruction and repair of the orbital floor, the respective characteristics, benefits and risks for each material are well understood (Baino, 2011;Mok et al, 2004;Avashia et al, 2012). Porous polyethylene sheet (Medpor) is the one of the most popular alloplastic materials, but it is very difficult to remove in cases of adverse reaction (Aldekhayel et al, 2014).…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

“…Guirado et al (2013) studied the bone response to collagenized xenografts of porcine origin and carried out radiological and histomorphometric evaluations of the bone's response. This kind of demineralized bone implant heals by endochondral osteogenesis and also induces osteoconduction that induces chemotaxis and differentiation of mesenchymal cells into chondroblasts (Mok et al, 2004).…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

See 3 more Smart Citations

A new option for the reconstruction of orbital floor defects with heterologous cortical bone

Özel

Fındıkçıoğlu

Sezgin

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

See 2 more Smart Citations

A new option for the reconstruction of orbital floor defects with heterologous cortical bone

Özel

Fındıkçıoğlu

Sezgin

et al. 2015

Journal of Cranio-Maxillofacial Surgery

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“…It should be further shaped to perfectly match the dimensions of the defect in order to provide with structurally intact support for the underlying tissues and structures. It is usually easier to harvest cartilage and shape it, hence further contributes to long-term support without resorption [4,5].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study between Conchal Cartilage Grafts and Split Rib Grafts in the Reconstruction of Orbital Floor Fractures

Mohamed

Setta

Shahat

2018

The Egyptian Journal of Plastic and Reconstructive Surgery

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Background: Orbital floor fractures always represent a challenge for reconstruction. Various techniques for treatment had evolved over the past years, each with their strengths and weaknesses. The main aim of surgical repair is to relocate herniated orbital tissue and fat back into the orbit restoring both the function and aesthetic aspect. Reconstruction of orbital floor can be performed using various types of materials, either autologous as rib grafts or cartilage grafts or alloplastic as titanium mesh. Aim of the Study:The aim of this study is to compare the results of using autologous cartilage grafts with those of split rib graft in small posttraumatic orbital floor defects reconstruction.Patients and Methods: 30 patients with orbital floor defects due to maxillofacial trauma. They were divided into 2 groups according to the technique of reconstruction: Group 1: 15 patients who had reconstruction by onlay split rib grafts Group 2: 15 patients who had reconstruction by conchal cartilage grafts, using either unilateral or sutured bilateral conchal cartilage grafts in large defects. Both methods were analyzed clinically and radiologically and were compared as regards, their advantages and disadvantages Postoperative assessment using CT scan were used.Results: With the conchal cartilage grafts, the results were more favorable with statistically significant decrease in complications.Conclusion: Reconstruction of orbital floor fractures using conchal cartilage grafts represents a safe and reliable method of reconstruction with less complications.

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Viability of Free Bone Graft in Combination With Free Tissue Transfer and Post‐Operative RT in Orbital Floor Reconstruction

Chakrabarti,

Phad,

Shetty

et al. 2024

The Laryngoscope

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Objectives/AimOrbital floor reconstruction post cancer ablation is challenging especially when associated with extensive soft tissue defects. Due consideration is to be given to the possible toxicities of adjuvant radiotherapy as well. Free bone‐soft tissue flaps are ideally suited in such situations. However, a single flap may fall inadequate for large defects. Using two free flaps in combination increases operating time and donor site morbidities. Non‐vascularized bone grafts combined with large soft tissue flaps harbor the risk of bone resorption and osteo‐radio necrosis. Alloplastic implants can lead to exposure and infection. We conducted a study researching the outcome of non‐vascularized cortico‐cancellous iliac bone graft (NVCIBG) used in orbital floor reconstruction along with free anterolateral thigh (FALT) flap in subjects undergoing extensive surgical ablation and adjuvant radiotherapy.Materials and MethodsTen consecutive subjects who underwent maxillo‐mandibular resection with or without skin were included in the study. The parameters assessed were diplopia, ectropion, bone viability, and osteointegration. Subjects were assessed in the immediate post‐operative period, 1 month after surgery, and after 1 year of radiotherapy.ResultsThe size of iliac bone harvested ranged from 3 to 5.5 cm (mean 4.8 cm). Forty percent subjects complained of binocular diplopia in the initial post‐operative period which subsided subsequently. Thirty percent subjects developed ectropion all of whom required external skin reconstruction. None developed osteoradionecrosis.ConclusionNVCIBG along with FALT flap is an excellent reconstructive option for orbital floor defects. It can withstand the toxicities of adjuvant radiotherapy and avoids the need for double free flap reconstruction.Level of Evidence4 Laryngoscope, 2024

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A Review of Materials Currently Used in Orbital Floor Reconstruction

Cited by 62 publications

References 64 publications

A new option for the reconstruction of orbital floor defects with heterologous cortical bone

A new option for the reconstruction of orbital floor defects with heterologous cortical bone

Comparative Study between Conchal Cartilage Grafts and Split Rib Grafts in the Reconstruction of Orbital Floor Fractures

Viability of Free Bone Graft in Combination With Free Tissue Transfer and Post‐Operative RT in Orbital Floor Reconstruction

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