Case Report-Reconstruction of Orbital Floor With Titanium Mesh in a Zygomaticomaxillary Complex Fracture

Abstract

Zygomaticomaxillary fractures are complex fractures that can involve the oor of the orbit. These fractures often lead to complications like diplopia, disability in rotation of the eye superiorly due to herniation of muscle and orbital fat into the maxillary sinus. These fractures if left untreated can result in malunion, visual disturbances and are not aesthetically pleasing due to effect on the symmetry of face. Various treatment modalities are available for the treatment of zygomaticomaxillary fracture and reconstruction of the oor of the orbit. Complications include retrobulbar hemorrhage, orbital ssure syndrome, and reduction in orbital volume, with minor effects like ectropion or entropion. A case report of a 21-year-old male patient with a Orbit zygomaticomaxillary complex fracture is described.

Orbital Floor Reconstruction with Titanium Mesh: A 5-YearAudit of a Tertiary Care Hospital

“…The study's results are consistent with previous research indicating the complexity of treating orbital floor fractures, where even advanced materials like titanium mesh cannot fully address functional issues like diplopia (16). This study also reports on other post-operative complications, such as ectropion/entropion, numbness, and infection, which are consistent with the known risks associated with orbital surgery (8). These findings highlight the importance of comprehensive post-operative care and monitoring to manage and mitigate such complications.…”

“…The surgical repair of these fractures using titanium mesh has become a prominent strategy, and its efficacy being documented over the past decade (4,8). Titanium is the ideal dividing material for the orbital floor as it is thin, light, durable, easily formed, radioopaque, and body friendly (9).…”