Reconstruction of the orbital floor with polydioxanone: a long-term clinical survey of up to 12 years

Beck‐Broichsitter, Benedicta; Acar, C.; Kandzia, Christian; Jochens, Arne; Wiltfang, Jens; Becker, Stephan

doi:10.1016/j.bjoms.2015.05.010

Cited by 17 publications

(10 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As we found no significant correlation between the used material and the presence of diplopia other studies presented similar results. Polydioxanone as the most used material in our study was also evaluated in the study of Beck-Broichsitter et al 24 . and presented no correlation to long-term complications.…”

Section: Discussionmentioning

confidence: 76%

“…Polydioxanone as the most used material in our study was also evaluated in the study of Beck-Broichsitter et al. 24 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.…”

Section: Discussionmentioning

confidence: 76%

See 1 more Smart Citation

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

Härtwig

Nissen

Voß

et al. 2019

Chinese Journal of Traumatology

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 76%

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

Härtwig

Nissen

Voß

et al. 2019

Chinese Journal of Traumatology

View full text Add to dashboard Cite

show abstract

“…Although undeniable progress in the management of orbital floor fractures has occurred over the past decades, there is still a lack of broad consensus as to which material(s) should be used to restore proper anatomy of the orbital floor in order to achieve best clinical results. This is also reflected by the still very high number of recent studies describing various approaches and materials to reconstruct the orbital floor, such as titanium meshes [27], partially absorbable meshes [28], bioresorbable implants [29,30], resorbable collagen membranes [31], polydioxanone foils [32], porous polyethylene sheets [33], bioactive glass S53P4 implants [34], auricular conchal grafts [35], rib bone grafts [36], or heterologous cortical bone [37].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

“…Cases have been reported of squamous cell carcinoma in anophthalmic sockets after chronic prosthesis wear in the absence of previous neoplasia, 16 suggesting that chronic trauma may be a predisposing factor for cancer. Orbital floor fractures are repaired with various materials, some of which are biodegradable (eg 910/polydioxanone patches, generally for smaller defects) and some of which are not (eg titanium mesh, ceramic plates) 17 …”

Section: Iatrogenic Foreign Materialsmentioning

confidence: 99%

Orbital pathology – Iatrogenic findings and artefacts

Thaung

2018

Saudi Journal of Ophthalmology

View full text Add to dashboard Cite

The relationship between the ophthalmologist and ophthalmic pathologist is particularly important in orbital disease, as diagnosis is heavily dependent on correlation with clinical context. If the patient has previously had treatment to the orbit or an adjacent area, whether for the same or a different condition, tissue changes may occur which affect the histological appearance of any specimen taken. This article is an overview of therapeutic interventions which may cause either orbital pathology or an altered appearance of the tissue, either of which can pose a diagnostic challenge. The problem of artefact is also addressed as another factor which may alter the appearance of a specimen. It is hoped that the information provided in this brief review will help clinicians better evaluate what information may be relevant when submitting a specimen.

show abstract

Reconstruction of the orbital floor with polydioxanone: a long-term clinical survey of up to 12 years

Cited by 17 publications

References 21 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

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

Orbital pathology – Iatrogenic findings and artefacts

Contact Info

Product

Resources

About