EVALUATION RESULTS OF ORBITAL FLOOR RECONSTRUCTION WITH USING TITANIUM MESH FOR TREATMENT OF ORBITAL FLOOR FRACTURE

Nam Nguyễn Thanh, Vân Biện Thị Cẩm, Tuấn Lê Minh, Hải Tôn Tường Trí

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Abstract

Purpose: To evaluate the efficacy and safety of the orbital floor reconstruction using the Titanium mesh. Design: This is a prospective cohort study. Methods: Description and analysis of seventy-five orbital-floor-fracture eyes, which were operated using Titanium mesh from September 2017 to March 2019. Results: The mean age of the patients was 36.1 ± 12.3 years. Men were twice as likely as women (66.7% and 33.3%). The majority of injuries were due to traffic accidents (68%). Injury-to-surgery mean time was 4.3 weeks. There were 34 (45.3%) cases with simple floor fractures and 41 (54.7%) of combined walls fracture. After 6 months of follow-up, the rate of recovery of enophthalmos was 67.3%; hypotropia was 68.9%, diplopia was 74.2%; restriction of upward and downward eye movement were 75% and 77.8% respectively. 1.3% cases presented infraorbital hypoesthesia, 4% of hypertropia, 1.3% of ectropion and scar. Conclusions: Orbital wall reconstruction using Titanium mesh is a highly safe and can preserve the globe position, ocular mobilit, ensure the aesthetic effect. 

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References

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