RESUMO
The study was performed to evaluate the effectiveness and safety of porous polyethylene with embedded titanium in the repair of orbital blowout fracture. The study was designed as a prospective case series. Patients who were diagnosed with orbital blowout fracture from May 2012 to March 2013 were included in the study. A composite material of porous polyethylene and titanium mesh was used. Orbital volumes before and after surgery were measured, and the results of diplopia and ocular movement were recorded. The occurrence of diplopia was grouped and compared according to the time interval between injury and surgery. The incidence of other complications was also recorded. A total of 26 patients were involved in the study. The minimal follow-up time was 12 months. All surgeries were performed uneventfully. The orbital volume significantly decreased after the surgery, and the remission rate and the elimination rate of diplopia in 12 months were 85.7% and 47.6%, respectively. Postoperative diplopia was correlated with the time interval between injury and surgery. One patient presented with undercorrection of enophthalmos, and another patient presented with acute aggravation of diplopia and exophthalmos after surgery, which was resolved with treatment. In conclusion, porous polyethylene with embedded titanium was effective and safe in the repair of orbital blowout fracture, and studies with more subjects and longer follow-up period are recommended in future studies.
Assuntos
Fraturas Orbitárias/cirurgia , Polietilenos , Telas Cirúrgicas , Adulto , Feminino , Seguimentos , Humanos , Interpretação de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Fraturas Orbitárias/diagnóstico , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Tomografia Computadorizada por Raios XRESUMO
High-density porous polyethylene is a type of polymeric biomaterial. When used to efficiently fill the extensive orbital volume and correct enophthalmos caused by orbital wall defect, it has a significant advantage of biocompatibility, which results in a low rate of postoperative exposure and infection. The major disadvantage of this material is its radiolucency. However, with the development of imaging techniques, it is now possible to use multidetector computed tomography to directly contour the implant and describe its position. The use of tissue engineering involving high-density porous polyethylene will further improve its biocompatibility. At the same time, composite materials will play an important role in the repair of orbital wall defect.