Orbital Wall Reconstruction with Titanium Mesh: Retrospective Study of 24 Patients

被引:16
作者
Gabrielli, Mario Francisco [1 ]
Monnazzi, Marcelo Silva [2 ]
Passeri, Luis Augusto [2 ]
Carvalho, Waldner Ricardo [1 ]
Gabrielli, Marisa [1 ]
Hochuli-Vieira, Eduardo [1 ]
机构
[1] Univ Estadual Paulista, Dent Sch, Diagnost & Surg Araraquara, Sao Paulo, Brazil
[2] Univ Campinas Unicamp, Fac Med Sci, Dept Maxillofacial Surg, Campinas, SP, Brazil
关键词
Surgery; orbital reconstruction; titanium mesh;
D O I
10.1055/s-0031-1286120
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
The aim of this study was to evaluate the efficacy and safety of traumatic orbital defect reconstruction with titanium mesh. A retrospective study was made. Evaluations were made after a minimum postoperative follow-up of 12 months, looking for the main complications. Twenty-four patients were included in this evaluation; 19 were male (79.1%) and 5 (20.8%) were female. The main injury etiology was vehicle accidents (50%) followed by other causes. Fourteen patients (58.3%) presented orbital floor fractures, and 10 had more than one wall fractured (41.6%). Permanent infraorbital nerve hypoesthesia was observed in two patients (8.3%), enophthalmos occurred in five patients (20.8%), and exophthalmos was found in two patients (8.3%). Four patients (16.6%) still presented evidence of residual prolapsed intraorbital content, and one of those needed further surgical correction; sinusitis occurred in one patient (4.1%). Titanium mesh is a reliable option for orbital reconstruction, despite some complications found in this sample.
引用
收藏
页码:151 / 156
页数:6
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