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

Abstract

Background: Diplopia often follows orbital floor fractures, yet comprehensive, long-term outcome-focused clinical audit data are lacking, especially in countries like Pakistan where diplopia and its treatment after orbital floor fractures are uncommon. This study aimed to assess the correction of diplopia following surgical repair of orbital floor fractures using titanium mesh. Methodology: A retrospective clinical audit was conducted at the Oral and Maxillofacial Surgery Department, Mayo Hospital, Lahore, from January 2015 to December 2019. Consecutive patient records admitted for orbital fracture correction were analyzed. A total of 202 patients of both genders with diplopia who underwent orbital floor reconstruction using titanium mesh were included. Results: Among the 202 patients meeting inclusion criteria, the mean age was 32.60 years (+/- 12.44 SD). Of these, 73.3% (n=148) were male, and 26.7% (n=54) were female. Persistent diplopia was experienced by 11.6% (n=18) of operated cases. Post-operative complications included ectropion/entropion (3.0%, n=6), numbness (2.5%, n=5), and infection (4.5%, n=9). Conclusion: Titanium mesh, a readily accessible synthetic material, demonstrates optimal efficacy in correcting post-traumatic enophthalmos and can be utilized to reconstruct orbital floor defects in orbito-zygomatic complicated fractures. These findings are expected to lay a foundation for future research, enhancing patient care and outcomes in maxillofacial trauma in Pakistan and beyond.