Resorbable Material for Pediatric Orbital Floor Reconstruction

Azzi, Jayson Lee; Azzi, Alain J.; Cugno, Sabrina

doi:10.1097/scs.0000000000004630

Cited by 9 publications

(8 citation statements)

References 46 publications

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“…In this patient, gel foam acted as temporary orbital floor obliteration to prevent orbital dystopia and enophthalmos through fibrosis mechanisms. [17][18][19][20] Monitoring in the postoperative period is important in neurological aspects because of reported complications, such as meningitis/encephalitis or increased intracranial pressure, which were not found in this case. The patient's postoperative recovery was uneventful, with noted improvement.…”

Section: Discussionmentioning

confidence: 74%

Large Isolated Nasoorbital Type of Frontoethmoidal Encephalomeningocele

2022

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Frontoethmoidal encephalomeningocele (FEEM) is a rare congenital craniofacial malformation with increased incidence in Southeast Asia, especially in Thailand. Because of its rarity, main treatment obstacles include the lack of surgical treatment techniques and long-term postoperative follow-up data. The authors present the case of a 9-month-old boy who was born with a large isolated nasoorbital type of FEEM, which had a pressure effect on his right eye, nose, and facial complex. Preoperative computed tomography of the facial bone was performed to evaluate the external bony defect. This study aims to present surgical correction of FEEM with Chula's technique and long-term 7-year postoperative follow-up including both clinical and imaging aspects.

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Section: Discussionmentioning

confidence: 74%

Large Isolated Nasoorbital Type of Frontoethmoidal Encephalomeningocele

2022

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“…Titanium is visible in computed tomography and magnetic resonance imaging. [ 13 14 ] It undergoes osseointegration on a molecular level without developing intervening fibrous tissue. [ 13 14 ] Further studies are needed with larger sample size for a generalized statements.…”

Section: Discussionmentioning

confidence: 99%

Titanium Mesh versus Medpor Implant in Orbital Floor Reconstructions: A Comparative Study

Marella

Rohit

Khetrapal

et al. 2021

Journal of Pharmacy and Bioallied Sciences

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Background: Treating orbital injuries is interesting and difficult in the facial trauma. The balance in facial proportions and also the facial esthetics are required to achieve an anatomical harmony. Objective: To compare the functional results of individual reconstruction of orbital floor using either titanium mesh or Medpor in terms of various factors. Materials and Methods: There were two study groups including eight subjects with orbital floor fracture, namely A (Medpor) and B (titanium mesh). Various parameters were analyzed postoperatively at intervals of 1 week, 3 week, 6 th week, and 3 months after the surgery. Statistical Analysis: Comparison of the different time points with respect to pain scores in the two study groups by Wilcoxon matched pairs test was done. P value was significant in the study Group A with P = 0.0431* and was insignificant in the study Group B with P = 0.1088. Results: All three cases of titanium mesh in orbital floor reconstruction had signs of infection, tenderness, and radiographic proof after 1 week in two subjects and 3 weeks in one patient. Pain was seen in all eight patients 1 week postoperatively. Conclusion: Although orbital reconstruction is a technique sensitive procedure both Medpore and Titanium mesh functions.

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“…In adults, nonresorbable implants are commonly used. In a pediatric population, nonresorbable implants can have a limited role due to the need for removal as they do not grow with the pediatric facial skeleton [45,47]. As a result, these have largely fallen out of favor to resorbable implants from a variety of materials and resorb from 15 to 24 months following placement [48,49].…”

Section: Advancements In Reconstructive Techniquesmentioning

confidence: 99%

Pediatric orbital fractures

Coviello

Williams

Sivam

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review The aim of this study was to summarize current evidence on the clinical presentation, evaluation, and management of pediatric orbital fractures. Recent trends in management strategies as well as emerging surgical techniques for pediatric orbital fracture repair are presented. Recent findings Although somewhat limited, growing bodies of evidence support a conservative approach with close follow up in pediatric orbital fractures. For those patients necessitating surgical repair, resorbable implants are increasingly preferred given their lack of donor site morbidity and a minimal impact on the developing craniofacial skeleton. There are emerging data reporting the use of three-dimensional (3D) printing-assisted approaches and intraoperative navigation; however, more research is needed to assess their applicability in the pediatric population. Summary There are few studies with large patient cohorts and long-term follow up given the rare incidence of pediatric orbital fractures, which restricts the generalizability of research on the topic. The studies available increasingly suggest that fractures without clinical evidence of entrapment can be managed conservatively with close follow up. A variety of reconstructive implants are available for those fractures necessitating repair. Donor site morbidity, availability, and need for additional procedures should all be factored into the reconstructive decision-making process.

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Resorbable Material for Pediatric Orbital Floor Reconstruction

Abstract: Newer resorbable implants are safe and have a similar complication profile as traditional autologous grafts in pediatric orbital floor reconstruction.

Cited by 9 publications

References 46 publications

Large Isolated Nasoorbital Type of Frontoethmoidal Encephalomeningocele

Large Isolated Nasoorbital Type of Frontoethmoidal Encephalomeningocele

Titanium Mesh versus Medpor Implant in Orbital Floor Reconstructions: A Comparative Study

Pediatric orbital fractures

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