Reconstruction of Orbital Blow-out Fracture by Titanium Mesh V.s Autogenous Bone | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 09 January 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.182903.1240 | ||
| Authors | ||
| Mahmoud Ahmed Moubarak* 1; Samia Saied2; mohamed shoieb3; Mohamed Abdelaal Hasanyn4 | ||
| 1Plastic Surgery department luxor University | ||
| 2Sohag Faculty of Medicine | ||
| 3plastic surgery department sohag university | ||
| 4Plastic surgery department, faculty of medicine, sohag university, sohag, Egypt | ||
| Abstract | ||
| Abstract Orbital trauma may cause significant facial deformities while also affecting eyesight and the nerve system of the face. Most orbital floor fractures are open defect injuries, which separates them from other face bone fractures. Forty percent of the craniofacial injuries are orbital fractures; the orbital floor, because it is the thinnest of the orbit's four walls, is the one that sustains injuries the most often. The relevant literature indicates that these fractures account for 67.84% of all instances of orbital fractures. Generally, orbital floor fractures may be divided into pure and impure blowout fractures; the former are isolated orbital floor fractures, while the latter are also linked to an orbital rim fracture; however, involving other skeletal elements. Aim of the work: The goal of this research was to assess whether titanium mesh implants or cranial bone grafts were more appropriate for internal orbital repair for clean rupture fractures. Methods: The case series method was utilized in this prospective and retrospective analysis on patients who had internal orbital reconstruction using titanium mesh (0.4 mm thickness) or a skull grafting (external table) at Sohag University Hospital and Luxor University Hospital for 2 years Study. Included 40 men and women suffering from ex-plosive orbital fractures. Patients were divided into 20 patients who underwent surgery using titanium mesh (Group A) and 20 patients who underwent surgery using autologous bone graft (Group B). Results: Relationship between before and after surgery with titanium mesh ophthalmic problems did not show a statistically significant phenomenon (blindness), and the data were statistically significant (double vision, motion restriction, suborbital hypoesthesia, vertical abnormality) ,but in case of relation between autogenous bone and titanium mesh ophthalmic problems in preoperative surgery do not show statistically significant values for all parameters. Conclusions: Autologous bone grafts do not cause immunological problems, but the number of donor sites is limited. There may also be problems related to pain in the second site, mismatch of mechanical properties of the host bone, and tendency to resorption. Titanium mesh, a synthetic biomaterial, is an expensive but good alternative and can overcome these limitations. | ||
| Keywords | ||
| orbital blowout; titanium; autogenous bone | ||
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