Various applications of titanium mesh screen implant to orbital wall fractures

Citation
Hs. Park et al., Various applications of titanium mesh screen implant to orbital wall fractures, J CRANIOF S, 12(6), 2001, pp. 555-560
Citations number
28
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
JOURNAL OF CRANIOFACIAL SURGERY
ISSN journal
1049-2275 → ACNP
Volume
12
Issue
6
Year of publication
2001
Pages
555 - 560
Database
ISI
SICI code
1049-2275(200111)12:6<555:VAOTMS>2.0.ZU;2-9
Abstract
As the number of high velocity injuries increases, orbital wall fractures t hat involve other facial bone fractures, especially those showing multiple crushed fractures have become increasingly common. However, owing to its co mplex anatomic structure, our inability to visualize details and relatively thin orbital wall, corrective restorations and fixations are very difficul t. Recently several reports have claimed good results using titanium implan ts to repair orbital fracture. Over a period of 36 months, Titanium mesh sc reen 1.0 (SYNTHES (R)) were applied to the repair of orbital fracture in va rious ways, taking 39 examples of orbital wall fracture patients requiring operating treatment. A titanium mesh screen 1.0 was used either as an onlay implant after it was shaped to fit the anatomical shape of the fracture po rtion, or as cover implant to fix bony pieces after repairing a severely cr ushed fracture on the orbital rim or maxillary wall segments. 1.3-mm micro- screws were used to fix the titanium mesh screen when needed. The titanium mesh screen 1.0 was rigid, yet malleable enough to get the desired shape. I t could be folded and screwed easily, and was also easy for follow-up with fewer artifacts on the CT findings. Therefore, we could restore and fix muc h easier and faster even crushed tiny bony pieces without loss and achieve more accurate three-dimensional anatomical reconstruction of orbital wall f racture.