Reconstruction of orbital blowout fractures using MEDPOR titanium mesh implants

The aim of this study was to evaluate the use of titanium mesh (MEDPOR (R) TITAN (TM)) implants in the surgical reconstruction of orbital blowout fractures. A total of 19 patients with orbital blowout fracturesas confirmed with computed tomography who underwent orbital reconstruction with MEDPOR (R) TITAN (TM) implants were evaluated in this study. Postoperative wound healing, vision, eye position, and occurrence of enophthalmos were evaluated and compared. The wounds healed well, and follow-up examination did not show prolapsed or rejected implants. Of 13 cases of diplopia, 11 resolved, 1 persisted but was less severe, and 1 showed no improvement. Surgery did not affect vision, and no significant visual acuity changes were observed. In general, patients were better postoperatively. Eye position improved and all eye movements returned to normal, although 1 case had residual esotropia and diplopia. A total of 19 cases of postoperative enophthalmos were corrected to varying degrees, 15 cases of enophthalmos underwent full correction of protruding eyes, and 4 cases still had mild retraction averaging 0.55 +/- 0.1 mm compared with preoperative enophthalmos, which increased by 1.5 mm to 2 mm. Pre-and postoperative differences were statistically significant. Complications of orbital blowout fractures should be treated early via surgery. A titanium mesh (MEDPOR (R) TITAN (TM)) implant is an excellent material for reconstruction of the orbital wall.