Long-term follow-up of blowout fractures of the orbital floor reconstructed with a polyglactin 910/PDS implant

Blake, Felix; Blessmann, Marco; Smeets, Ruben; Friedrich, Reinhard E; Schmelzle, R.; Heiland, Max; Eichhorn, Wolfgang

doi:10.1007/s00068-011-0081-x

Cited by 9 publications

(7 citation statements)

References 40 publications

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“…and presented no correlation to long-term complications. Similar results were presented with ethisorb patches – which are used off-label - as covering material in the study of Jank et al 25 and Blake et al 26 A recent study from Ramphul and Hoffmann 3 found no significant association of other used materials (titanium mesh, Medpor, a combination of Medpor and mesh, and gelatin film) and diplopia in their study, too. Compared to titanium implants our results showed a slightly better outcome ranging between 24.6 and 29.8% 27 …”

Section: Discussionsupporting

confidence: 75%

Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction

Härtwig

Nissen

Voß

et al. 2019

Chinese Journal of Traumatology

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Purpose Primary reconstruction via transconjunctival approach is a standardized treatment option for orbital floor fractures. The aim of this study was to compare the findings of specific ophthalmologic assessment with the patient's complaints after fracture reduction. Methods A retrospective medical chart analysis was performed on patients who had undergone transconjunctival orbital floor fracture reduction for fracture therapy with resorbable foil (ethisorb sheet or polydioxanone foil). A follow-up assessment including ophthalmological evaluation regarding visual acuity (eye chart projector), binocular visual field screening (Bagolini striated glasses test) and diplopia (cover test, Hess screen test) was conducted. Additionally, a questionnaire was performed to assess patients' satisfaction. Results A total of 53 patients with a mean follow-up of 23 months (ranging from 11 to 72) after surgical therapy were included. Diplopia was present preoperatively in 23 (43.4%) and reduced in follow-up examination ( n = 12, 22.6%). Limitations in ocular motility reduced from 37.7% to 7.5%. The questionnaire about the patient's satisfaction revealed excellent outcomes in relation to the functional and esthetical parameters. Conclusion Transconjunctival approach is a safe approach for orbital fracture therapy. Postoperative diplopia is nearly never perceptible for the individual and differs to pathologic findings in the ophthalmic assessment.

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Section: Discussionsupporting

confidence: 75%

Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction

Härtwig

Nissen

Voß

et al. 2019

Chinese Journal of Traumatology

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“…28 As a material, PDS has been used successfully in orbital floor reconstruction and has shown excellent long-term results over 15 years. 29 The biologic properties of PDS showed that the degradation products of the synthetic aliphatic polymer simulate the regeneration of bone by their osteoconductive properties. 9 This early bony regeneration at the area of the skull base was identified on the postoperative CT imaging of our patient in case B.…”

Section: Discussionmentioning

confidence: 99%

The Use of Polydioxanone Plates for Endoscopic Skull Base Repair

Al-Asousi

Okpaleke

Dadgostar

et al. 2017

Am J Rhinol�Allergy

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“…Polyglactin 910/polydioxanone (Ethisorb ® ) is a well-known material in neurosurgery, primarily used to repair dura mater defects. Apart from this main indication, it has also been used for OFF repair since many years, and this "off-label" use was reported in several studies [22][23][24][25]. In many aspects, Ethisorb ® represents a highly suitable material to restore proper anatomical outlines in the delicate area of the orbital floor.…”

Section: Discussionmentioning

confidence: 99%

“…Ethisorb ® was originally described as an alloplastic material suitable for closure of dura mater defects in neurosurgery [19,20] and has proven to be of great value in this indication [21]. However, off-label use of this material for the repair of OFFs has been described, too [22][23][24][25]. With regard to the fact that this material is not licensed for the use in orbital surgery it was the aim of our retrospective clinical study to further assess its value in OFF repair with a focus on ophthalmologic outcome.…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®)

et al. 2020

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The aim of this retrospective study was to evaluate the clinical outcome of surgical management of small versus large, isolated orbital floor fractures (OFFs) using polyglactin 910/polydioxanone (Ethisorb®). Covering a four-year period (2010–2013), all records concerning midfacial fractures with involvement of the orbit were screened. Isolated fractures of the orbital floor as well as combined injuries of the orbital floor and medial wall that had been treated surgically using polyglactin 910/polydioxanone (Ethisorb®) were included. Patients underwent a preoperative, a postoperative, and a late ophthalmologic assessment. The clinical outcomes of surgically managed small OFFs up to 2 cm2 were statistically analyzed and compared to clinical results in larger defects. The final sample included 61 patients (25 women, 36 men). Fractures up to 2 cm2 were found in 33 patients (54.1%), whereas 28 patients (45.9%) suffered from OFFs larger than 2 cm2. The clinical outcomes did not significantly differ between both sample categories, and statistical analysis showed a power of 0.91 to detect a potentially existing difference. On final examination, 52 patients were free of any clinical symptoms, whereas minor issues were found in seven subjects, and two patients suffered from severe impairment. In conclusion, polyglactin 910/polydioxanone (Ethisorb®) seems to be a suitable material for surgical repair of both small and large OFFs.

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Long-term follow-up of blowout fractures of the orbital floor reconstructed with a polyglactin 910/PDS implant

Abstract: Reconstructive surgery of the orbit is one of the most demanding challenges in maxillofacial surgery. For traumatic defects of the orbital floor, reconstruction using a polyglactin 910/PDS implant (Ethisorb(™)) seems to be a reliable method for the repair of small-to-moderate defects.

Cited by 9 publications

References 40 publications

Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction

Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction

The Use of Polydioxanone Plates for Endoscopic Skull Base Repair

Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®)

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