Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures
AIM:To evaluate the accuracy and practicability of three-dimensionally preformed Arbeitsgemeinschaft Osteosynthese AO titanium mesh plates for orbital fractures.<p>METHODS:Forty-seven patients with isolated blow-out orbital fractures were included in this study. Fracture locations were as foll...
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doaj-14fce30b7dc14863833f2f24e2e8d1522020-11-24T22:33:31ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232015-01-0115111211610.3980/j.issn.1672-5123.2015.1.32Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fracturesMing Chen0Guang-Rui Chai1Meng Wang2Lu Liu3He-Ming Li4He Zhang5Department of Ophthalmology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, Liaoning Province, ChinaDepartment of Ophthalmology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, Liaoning Province, ChinaFengtian Hospital Affiliated to Shenyang Medical College, Shenyang 110024, Liaoning Province, ChinaDepartment of Ophthalmology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, Liaoning Province, ChinaDepartment of Ophthalmology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, Liaoning Province, ChinaDepartment of Ophthalmology, Shengjing Hospital Affiliated to China Medical University, Shenyang 110004, Liaoning Province, ChinaAIM:To evaluate the accuracy and practicability of three-dimensionally preformed Arbeitsgemeinschaft Osteosynthese AO titanium mesh plates for orbital fractures.<p>METHODS:Forty-seven patients with isolated blow-out orbital fractures were included in this study. Fracture locations were as follows: floor/medial wall(<i>n</i>=26, 55%), medial wall(<i>n</i>=12, 26%), and floor(<i>n</i>=9, 19%). The floor fractures were exposed by a standard transconjunctival approach, whereas a combined transcaruncular transconjunctival approach was used in patients with medial wall fractures with temporary dissection of inferior oblique muscle. A three-dimensionally preformed AO titanium mesh plate was selected according to the size of the defect previously measured on the preoperative computed tomographic scan examination and fixed at the inferior orbital rim with 2 screws. The accuracy of plate positioning of the reconstructed orbit was assessed on the postoperative computed tomography(CT)scan. The practicability of clinical use of AO three-dimensionally preformed titanium mesh plates was assessed on the preoperative and postoperative clinical data.<p>RESULTS: Postoperative orbital CT scan showed an anatomic three-dimensional placement of the orbital mesh plates in all of the patients. All patients had a successful treatment outcome without clinical complications. 40 patients(87%)had a successful enophthalmos correction. 25 patients(86%)had a successful recovery from diplopia.<p>CONCLUSION: Three-dimensionally preformed AO titanium mesh plates for orbital fracture reconstruction results in an accurate anatomic restoration of the bony orbital contour with a high rate of success to correctenophthalmos and diplopia.http://ies.ijo.cn/cn_publish/2015/1/201501032.pdforbital fracturesenophthalmospreformed titanium mesh platescomputed tomography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ming Chen Guang-Rui Chai Meng Wang Lu Liu He-Ming Li He Zhang |
spellingShingle |
Ming Chen Guang-Rui Chai Meng Wang Lu Liu He-Ming Li He Zhang Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures Guoji Yanke Zazhi orbital fractures enophthalmos preformed titanium mesh plates computed tomography |
author_facet |
Ming Chen Guang-Rui Chai Meng Wang Lu Liu He-Ming Li He Zhang |
author_sort |
Ming Chen |
title |
Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures |
title_short |
Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures |
title_full |
Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures |
title_fullStr |
Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures |
title_full_unstemmed |
Clinical use of AO three-dimensionally preformed titanium mesh plates for orbital fractures |
title_sort |
clinical use of ao three-dimensionally preformed titanium mesh plates for orbital fractures |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
Guoji Yanke Zazhi |
issn |
1672-5123 1672-5123 |
publishDate |
2015-01-01 |
description |
AIM:To evaluate the accuracy and practicability of three-dimensionally preformed Arbeitsgemeinschaft Osteosynthese AO titanium mesh plates for orbital fractures.<p>METHODS:Forty-seven patients with isolated blow-out orbital fractures were included in this study. Fracture locations were as follows: floor/medial wall(<i>n</i>=26, 55%), medial wall(<i>n</i>=12, 26%), and floor(<i>n</i>=9, 19%). The floor fractures were exposed by a standard transconjunctival approach, whereas a combined transcaruncular transconjunctival approach was used in patients with medial wall fractures with temporary dissection of inferior oblique muscle. A three-dimensionally preformed AO titanium mesh plate was selected according to the size of the defect previously measured on the preoperative computed tomographic scan examination and fixed at the inferior orbital rim with 2 screws. The accuracy of plate positioning of the reconstructed orbit was assessed on the postoperative computed tomography(CT)scan. The practicability of clinical use of AO three-dimensionally preformed titanium mesh plates was assessed on the preoperative and postoperative clinical data.<p>RESULTS: Postoperative orbital CT scan showed an anatomic three-dimensional placement of the orbital mesh plates in all of the patients. All patients had a successful treatment outcome without clinical complications. 40 patients(87%)had a successful enophthalmos correction. 25 patients(86%)had a successful recovery from diplopia.<p>CONCLUSION: Three-dimensionally preformed AO titanium mesh plates for orbital fracture reconstruction results in an accurate anatomic restoration of the bony orbital contour with a high rate of success to correctenophthalmos and diplopia. |
topic |
orbital fractures enophthalmos preformed titanium mesh plates computed tomography |
url |
http://ies.ijo.cn/cn_publish/2015/1/201501032.pdf |
work_keys_str_mv |
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1725730571516116992 |