Reconstruction of Orbital Wall Fracture with Resorbable Copolymer Mesh.

Chi, Mi Jung; Jeung, Jee Woong; Lee, Jong Hyeok

Original Article

Journal of the Korean Ophthalmological Society 2006;47(7):1021-1030.
Published online July 31, 2006.

Reconstruction of Orbital Wall Fracture with Resorbable Copolymer Mesh.

Mi Jung Chi, Jee Woong Jeung, Jong Hyeok Lee

¹Department of Ophthalmology, Gachon University of Medicine and Science, Gil Medical Center, Incheon, Korea.
²Jeil Ophthalmology Clinics, Koyang, Korea. ljhcyj@lycos.co.kr

생체 흡수성 코폴리머 고정판을 이용한 안와골절의 치료

지미정¹,정지웅¹,이종혁²

Department of Ophthalmology, Gachon University of Medicine and Science, Gil Medical Center¹, Incheon, Korea Jeil Ophthalmology Clinics², Koyang, Korea

Correspondence: Mi Jung Chi, M.D.¹

Abstract

PURPOSE
BioSorbFX(R)(BIONX Implant Inc.) and Macropore(R)(Medtronics Inc.) are mesh-type resorbable copolymer plate. This report presents a new model necessary for orbital wall reconstruction, accoding to the operative outcomes of orbital fracture with its use. METHODS: A follow-up on 11 patients was performed to ascertain the operative effects of the mesh-type resorbable material for 6 months. RESULTS: The patients were 7 males and 4 females. The patients' average age was 29.7 years and the mean follow-up period was 8.1 months. The most common site of fracture was inferior wall. In these cases, simultaneous fracture of the medial wall and floor was frequently observed. One case showed limitation of ocular movement, diplopias and enophthalmos simultaneously; 3 cases, enophthalmos and diplopia; 5 cases showed limitation of ocular movement and diplopia; and 2 cases, considerable possibility or the presence of enophthalmos due to extended fracture size. The cases improved remarkably after being operated and none were observed to have worsened. Moreover, serious complications, such as visual loss, the infection of implants, dislocation, exposure, etc., were not observed. CONCLUSIONS: Altogether, it is considered that the mesh-type resorbable copolymer plate may be safely used in orbital wall reconstruction without conspicuous complication.

Key Words: Orbital wall fracture;Resorbable implant