Orbital wall reconstruction with titanium mesh:Retrospective study of 24 patients
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Data
2011
Autores
Gabrielli, Mário Francisco Real [UNESP]
Monnazzi, Marcelo Silva
Passeri, Luis Augusto
Carvalho, Waldner Ricardo Souza de [UNESP]
Gabrielli, Marisa Aparecida Cabrini [UNESP]
Houchuli-Vieira, Eduardo [UNESP]
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Resumo
The aim of this study was to evaluate the efficacy and safety of traumatic orbital defect reconstruction with titanium mesh. A retrospective study was made. Evaluations were made after a minimum postoperative follow-up of 12 months, looking for the main complications. Twenty-four patients were included in this evaluation; 19 were male (79.1%) and 5 (20.8%) were female. The main injury etiology was vehicle accidents (50%) followed by other causes. Fourteen patients (58.3%) presented orbital floor fractures, and 10 had more than one wall fractured (41.6%). Permanent infraorbital nerve hypoesthesia was observed in two patients (8.3%), enophthalmos occurred in five patients (20.8%), and exophthalmos was found in two patients (8.3%). Four patients (16.6%) still presented evidence of residual prolapsed intraorbital content, and one of those needed further surgical correction; sinusitis occurred in one patient (4.1%). Titanium mesh is a reliable option for orbital reconstruction, despite some complications found in this sample.
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Palavras-chave
Orbital fractures, Orbital reconstruction, Titanium mesh
Como citar
Craniomaxillofacial Trauma and Reconstruction, v. 4, n. 3, p. 151-156, 2011.