Article
Health Care Sciences & Services
Max Wilkat, Karsten Hufendiek, Merve Karahisarlioglu, Maria Borrelli, Christoph Sproll, Majeed Rana
Summary: The proper treatment of two-wall fractured orbits is still a controversial topic, particularly regarding the necessity of medial orbital wall repair. Emerging technologies such as patient-specific implants (PSI) offer reliable and anatomically correct reconstruction options. This study aimed to evaluate the outcome of full orbital reconstruction using PSIs compared to only orbital floor repair using PDS foils, and the results suggest that complex orbital fractures can be reconstructed more accurately with PSI.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Surgery
Mamdouh Ahmed, Sherif Ali, Mona Samy Elhadidy
Summary: The use of patient specific guides and sterolithographic models in orbital floor reconstruction surgery showed promising results.
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY
(2022)
Article
Medicine, General & Internal
Guido R. Sigron, Marina Barba, Frederique Chammartin, Bilal Msallem, Britt-Isabelle Berg, Florian M. Thieringer
Summary: The study aimed to compare the outcomes of orbital floor reconstruction using preformed hybrid patient-specific titanium meshes and standardized, intraoperatively adapted titanium implants. Results showed trends of better functional and cosmetic outcomes with the use of hybrid patient-specific titanium meshes, and a significant reduction in surgery duration when using 3D-printed anatomical models as a supporting tool.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Emergency Medicine
Lukas Benedikt Seifert, Tim Mainka, Carlos Herrera-Vizcaino, Rene Verboket, Robert Sader
Summary: This study retrospectively reviewed 1594 patients with midface and orbital fractures treated at Goethe University Hospital in Frankfurt, Germany, between 2007 and 2017. Results showed that most patients were male, with the most common causes of injury being physical assault and falls. The use of 0.15 mm resorbable polydioxanone sheets for orbital floor reconstruction led to significantly fewer post-operative complications.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Health Care Sciences & Services
Cherng-Ru Hsu, Lung-Chi Lee, Yi-Hao Chen, Ke-Hung Chien
Summary: The timing of surgical intervention for orbital floor fractures is related to postoperative limitation and diplopia. The study suggests that earlier intervention in symptomatic patients with orbital trauma may improve postoperative visual function.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Otorhinolaryngology
Benjamin C. Campbell, Taha Z. Shipchandler, Jonathan Y. Ting, B. Ryan Nesemeier, June Geng, David A. Camp, H. B. Harold Lee
Summary: Diplopia and ocular motility restriction are common complications following orbital fracture repair. The study aimed to describe a practical in-office method for examining these issues and reported outcomes in patients who underwent orbital floor fracture repair. The study found that detailed ophthalmic diagnostic techniques may reveal higher rates of diplopia and motility restriction compared to subjective patient history.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2021)
Article
Ophthalmology
Hyun Young Park, Tae Hyung Kim, Jin Sook Yoon, JaeSang Ko
Summary: Postoperative changes in orbital volume and enophthalmos were assessed after reconstruction of orbital floor fractures using a bioabsorbable implant. The increased orbital volume was associated with deformity of the implant, and there was a linear correlation between the increase in orbital volume and enophthalmos progression. Patients with more herniated orbital tissue preoperatively showed increased postoperative orbital volume change. Proper implant selection and close postoperative follow-up are needed for optimal outcomes.
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
(2022)
Article
Surgery
Krissia M. Rivera Perla, Victoria G. Zeyl, Christopher D. Lopez, Joseph Lopez, Richard J. Redett, Paul N. Manson, Robin Yang
Summary: This study aimed to investigate the impact of socioeconomic status on surgical management, outcomes, and the use of synthetic orbital implant in orbital floor fracture patients. The study found decreased synthetic orbital implant use among uninsured and Black patients, as well as decreased home discharge among Medicare patients. There were no differences in orbital reconstruction.
JOURNAL OF CRANIOFACIAL SURGERY
(2022)
Article
Medicine, General & Internal
Jayapaul Vaanmugil, Samson Jimson, Lokesh Bhanumurthy, M. Arunprakash, Raveendharan Kandasamy
Summary: Isolated orbital fractures account for 4-16% of all facial fractures, with orbital fractures making up approximately 30-55% of ZMC and NOE fractures. The ideal material for orbital floor fracture repair should have specific characteristics, and surgical management using conchal cartilage can be effective for orbital floor fractures.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Otorhinolaryngology
Benjamin C. Campbell, Taha Z. Shipchandler, Jonathan Y. M. Ting, Dominic Vernon, Rana S. Torabi, Manisha Miller, H. B. Harold Lee
Summary: This study describes a wraparound technique for nylon foil implant placement for large, isolated orbital floor fractures, which provides excellent results with low complication rates. The technique offers more support and stability than traditional implants for larger fractures.
AMERICAN JOURNAL OF OTOLARYNGOLOGY
(2022)
Article
Dentistry, Oral Surgery & Medicine
Yurii Chepurnyi, Olena Zhukovtseva, Andriy Kopchak, Oleksandr Kanura
Summary: The study aimed to compare the differences between automated and manual virtual orbital wall reconstruction in terms of PSI design, manufacture, and clinical application. The results showed that automated virtual reconstruction PSI had similar surgical outcomes, orbital shape differences, diplopia occurrence rates, and CAD procedure times compared to manual virtual reconstruction PSI. Therefore, automated virtual reconstruction PSI can be considered as an effective alternative treatment option for orbital fractures.
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
(2022)
Article
Otorhinolaryngology
Lena Folkestad, Lars Jonsson, Therese Karlsson
Summary: The study aims to investigate the correlation between CT images and surgical findings in orbital floor fractures and the presence of diplopia. The results showed a 71% concordance between CT images and surgical findings. In addition, there was a significant correlation between the rounding of the inferior rectus muscle seen on CT and diplopia.
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
(2023)
Article
Medicine, General & Internal
Emanuel F. I. I. I. I. I. I. Boyer, Oliver Filutowski, Charles Slonim
Summary: This case describes a 42-year-old man who presented to the emergency department following a motor vehicle collision. He had a history of a left orbital floor fracture and was found to have a subconjunctival mass and crepitus of the left eye. A CT scan confirmed the presence of subconjunctival, subcutaneous, and orbital emphysema associated with the previous fracture. The patient was offered outpatient repair of the old fracture.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Surgery
Amir Wolff, Chaim Ohayon, Omri Emodi, Gill E. Sviri, Vladimir Shapira, Adi Rachmiel
Summary: The study indicates that in pediatric orbital fracture patients, males are predominant with an average age of around 12 years old, the surgical treatment group has a higher complication rate, and inferior outcomes are seen in cases of large defects.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)
Article
Surgery
Eeva Kormi, Ville Mannisto, Niilo Lusila, Hanna Naukkarinen, Juho Suojanen
Summary: The use of CAD-CAM PSI for orbital floor blowout fracture reconstruction has shown successful 3D outcomes and restored orbital volume, indicating it as a reliable method for such cases.
JOURNAL OF CRANIOFACIAL SURGERY
(2021)