Clinical Experience with Medpor Implant Through Transconjunctival Incision in Blow-out Fractures.

Lee, Su Hyung; Cho, Kyung Sin

Original Article

Journal of the Korean Ophthalmological Society 1998;39(5):823-829.
Published online May 1, 1998.

Clinical Experience with Medpor Implant Through Transconjunctival Incision in Blow-out Fractures.

Su Hyung Lee, Kyung Sin Cho

Department of Ophthalmology, Dongkang Hospital, Ulsan, Korea.

안와골절 환자에서 결막절개를 통한 MEDPOR 내고정술의 임상성적

이수형(Su Hyung Lee),조경신(Kyung Sin Cho)

Abstract

Medpor, the high density porous polyethylene, which permits rapid ingrowth of both soft tissues and vasculatures, is highly stable but somewhat flexible and is also easy to shape. So it has been often used for plastic and reconstructive surgeries including facial bone fractures, as well as orbital wall fractures. The authors investigated sex and age distribution, causes of injury, combined ocular injuries, and fracture sites of 45 blow-out fractures. And 27 orbital reconstructions was performed by using 0. 85mm thickness Medpor within 2 weeks after injury, if possible. During post-operative follow up, the preoperative diplopia was resolved or decreased in all cases, but the enophthalmos was not completely resolved. Much researches will be needed for choice of Medpor`s thickness or operation methods, and long term stability shoud be approved through further follow up.

Key Words: Blowout fracture;Diplopia;Enophthalmos;Medpor