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Indian Journal of Otolaryngology and Head & Neck Surgery

Erschienen in:

02.08.2022 | Original Article

Management of Orbital Floor Fractures: Our Experience in 10 Years

verfasst von: Pasquale Piombino, Stefania Troise, Fabio Maglitto, Simona Barone, Lorenzo Sani, Umberto Committeri, Giovanna Norino, Paola Bonavolontà, Giovanni Salzano, Luigi Angelo Vaira, Giacomo De Riu, Luigi Califano

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 4/2022

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Abstract

Purpose

Orbital floor Fractures are the most common fractures involving the facial skeleton and usually occurs after traumatic events. The reconstruction of the orbital floor can be performed with different biocompatible materials. The aim of our retrospective study is to analyze the short- and long-term outcomes of surgically treated patients based on the material used to repair the orbital floor.

Methods

We enrolled 146 patients hospitalized for orbital floor fractures in the Maxillofacial Surgery Unit of the Federico II University of Naples from 1 to 2010 to July 2020. All the fractured orbital floors were reconstructed with non-resorbable (Titanium Mesh, SynPor, SuPor and MedPor implants) or resorbable (collagen membrane, bovinum pericardium membrane, autologous bone graft) materials.

Results

We utilized non-resorbable materials in 56% (82 cases) and resorbable implants in 44% (64 cases). An improvement of the preoperative symptomatology and an aesthetical good outcome was achieved in most cases.

Conclusions

Data obtained supports that both resorbable and non-resorbable materials for orbital floor reconstruction are a safe and effective alternatives and offer satisfactory results in functional and aesthetic evaluations.

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Jank S, Emshoff R, Schuchter B, Brandlmaier I, Norer B (2003) Orbital floor reconstruction with flexible Ethisorb patches: a retrospective long-term follow-up study. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. ; 95(1), 16–22

Piombino P, Iaconetta G, Ciccarelli R, Romeo A, Spinzia A, Califano L (2010) Repair of orbital floor fractures: our experience and new technical findings. Craniomaxillofacial trauma & reconstruction 3(4):217–222CrossRef

AO Foundation. Classification of Midface Fractures [Online], Available URL https://surgeryreference.aofoundation.org/cmf/trauma/midface/further-reading/aocmf-classification-midface-level-1-and-2 [Accessed 08/04/21]

Kunz C, Audigé L, Cornelius CP, Buitrago-Téllez CH, Rudderman R, Prein J (2014) The Comprehensive AOCMF Classification System: Orbital Fractures - Level 3 Tutorial. Craniomaxillofacial trauma & reconstruction 7(Suppl 1):S092–S102

Piombino P, Spinzia A, Abbate V, Bonavolontà P, Orabona GD, Califano L (2013) Reconstruction of small orbital floor fractures with resorbable collagen membranes. J Craniofac Surg 24(2):571–574CrossRef

Tong L, Bauer RJ, Buchman SR (2001) A current 10-year retrospective survey of 199 surgically treated orbital floor fractures in a nonurban tertiary care center. Plast Reconstr Surg 108(3):612–621CrossRef

Seen S, Young SM, Teo SJ, Lang SS, Amrith S, Lim TC, Sundar G (2018) Permanent Versus Bioresorbable Implants in Orbital Floor Blowout Fractures. Ophthal Plast Reconstr Surg 34(6):536–543CrossRef

Iftikhar M, Canner JK, Hall L, Ahmad M, Srikumaran D, Woreta FA (2021) Characteristics of Orbital Floor Fractures in the United States from 2006 to 2017. Ophthalmology 128(3):463–470CrossRef

Patel S, Andrecovich C, Silverman M, Zhang, L., & Shkoukani, M. Biomechanic Factors Associated With Orbital Floor Fractures. JAMA facial plastic surgery. 2017; 19(4), 298–302

10.

Manolidis S, Weeks BH, Kirby M, Scarlett, M., & Hollier, L. Classification and surgical management of orbital fractures: experience with 111 orbital reconstructions.The Journal of craniofacial surgery. 2002; 13(6), 726–738

11.

Burnstine MA (2003) Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol 14(5):236–240CrossRef

12.

Ceylan OM, Uysal Y, Mutlu FM, Tuncer K, Altinsoy HI (2011) Management of diplopia in patients with blowout fractures. Indian J Ophthalmol 59(6):461–464CrossRef

13.

Patel AU, Haas JA, Skibba KE, Morrison CS (2020) Outcomes Following Orbital Floor Fractures in the Elderly. J Craniofac Surg 31(5):1376–1378

14.

Ellis E 3rd, Tan Y (2003) Assessment of internal orbital reconstructions for pure blowout fractures: cranial bone grafts versus titanium mesh. J Oral Maxillofac Surg 61(4):442–453CrossRef

15.

Ellis E 3rd, Messo E (2004) Use of nonresorbable alloplastic implants for internal orbital reconstruction. J Oral Maxillofac Surg 62(7):873–881CrossRef

16.

Büchel P, Rahal A, Seto I, Iizuka T (2005) Reconstruction of orbital floor fracture with polyglactin 910/polydioxanon patch (ethisorb): a retrospective study. J Oral Maxillofac Surg 63(5):646–650CrossRef

17.

Tabrizi R, Ozkan TB, Mohammadinejad C, Minaee N (2010) Orbital floor reconstruction. J Craniofac Surg 21(4):1142–1146CrossRef

18.

Hudecki A, Wolany W, Likus W, Markowski J, Wilk R, Kolano-Burian A, Łuczak K, Zorychta M, Kawecki M, Łos MJ (2021) Orbital reconstruction - applied materials, therapeutic agents and clinical problems of restoration of defects. Eur J Pharmacol 892:173766CrossRef

19.

Holtmann H, Eren H, Sander K, Kübler NR, Handschel J (2016) Orbital floor fractures–short- and intermediate-term complications depending on treatment procedures. Head Face Med 12:1CrossRef

20.

Potter JK, Malmquist M, Ellis E 3rd (2012) Biomaterials for reconstruction of the internal orbit. Oral Maxillofac Surg Clin North Am 24(4):609–627CrossRef

21.

Cole P, Boyd V, Banerji S, Hollier LH Jr (2007) Comprehensive management of orbital fractures. Plast Reconstr Surg 120(7 Suppl 2):57S–63SCrossRef

22.

Baumann A, Burggasser G, Gauss N, Ewers R (2002) Orbital floor reconstruction with an alloplastic resorbable polydioxanone sheet. Int J Oral Maxillofac Surg 31(4):367–373CrossRef

23.

Potter JK, Ellis E (2004) Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg 62(10):1280–1297CrossRef

24.

Cruz AA, Eichenberger GC (2004) Epidemiology and management of orbital fractures. Curr Opin Ophthalmol 15(5):416–421CrossRef

25.

Ellis E 3rd, el-Attar A, Moos KF (1985) An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg 43(6):417–428CrossRef

26.

Pérez-Flores I, Santos-Armentia E, Fernández-Sanromán J, Costas-López A, Fernández-Ferro M (2018) Diplopia secondary to orbital fracture in adults. Arch Soc Esp Oftalmol 93(4):174–181CrossRef

27.

Antonyshyn OM (1996) Orbital Fractures: Diagnosis, Operative Treatment, Secondary Corrections. Can J Surg 39(1):78–79

28.

Ramphul A (2017) Does Preoperative Diplopia Determine the Incidence of Postoperative Diplopia After Repair of Orbital Floor Fracture? An Institutional Review. J Oral Maxillofac Surg 75(3):565–575Hoffman GCrossRef

29.

Gunarajah DR, Samman N (2013) Biomaterials for repair of orbital floor blowout fractures: a systematic review. J Oral Maxillofac Surg 71(3):550–570CrossRef

30.

Gear AJ, Lokeh A, Aldridge JH, Migliori MR, Benjamin CI, Schubert W (2002) Safety of titanium mesh for orbital reconstruction. Ann Plast Surg 48(1):1–7 discussion 7–9CrossRef

31.

Schön R, Metzger MC, Zizelmann C, Weyer N (2006) Individually preformed titanium mesh implants for a true-to-original repair of orbital fractures. Int J Oral Maxillofac Surg 35(11):990–995CrossRef

32.

Kersey TL, Ng SG, Rosser P, Sloan B, Hart R (2013) Orbital adherence with titanium mesh floor implants: a review of 10 cases. Orbit 32(1):8–11CrossRef

33.

Belli E, Liberatore G, Elidon M, Dell’Aversana Orabona G, Piombino P, Maglitto F, Catalfamo L (2015) De riu G. Surgical evolution in the treatment of mandibular condyle fractures. BMC Surg 15:16CrossRef

34.

Orabona GD, Abbate V, Maglitto F, Committeri U, Improta G, Bonavolontà P, Reccia A, Somma T, Iaconetta G, Califano L (2019) Postoperative Management of Zygomatic Arch Fractures: In-House Rapid Prototyping System for the Manufacture of Protective Facial Shields. J Craniofac Surg 30(7):2057–2060CrossRef

35.

Xu QH, Yu JH, Wang YH, Wang AA, Liao HF (2019) Analysis of the effect of repair materials for orbital blowout fracture on complications. Int J Ophthalmol 12(11):1746–1750CrossRef

36.

Girdler NM, Hosseini M (1992 Feb) Orbital floor reconstruction with autogenous bone harvested from the mandibular lingual cortex. Br J Oral Maxillofac Surg 30(1):36–38

37.

Prowler JR (1965) Immediate reconstruction of the orbital rim and floor. J Oral Surg 23:5–13

38.

Harsha BC, Turvey TA, Powers SK (1986) Use of autogenous cranial bone grafts in maxillofacial surgery: a preliminary report. J Oral Maxillofac Surg 44(1):11–15CrossRef

39.

Antonyshyn O, Gruss JS, Galbraith DJ, Hurwitz JJ (1989) Complex orbital fractures: a critical analysis of immediate bone graft reconstruction. Ann Plast Surg 22(3):220–233CrossRef

40.

Peltomaa J, Rihkanen H (2000) Infraorbital nerve recovery after minimally dislocated facial fractures. Eur Arch Otorhinolaryngol 257(8):449–452CrossRef

41.

Taicher S, Ardekian L, Samet N, Shoshani Y, Kaffe I (1993) Recovery of the infraorbital nerve after zygomatic complex fractures: a preliminary study of different treatment methods. Int J Oral Maxillofac Surg 22(6):339–341CrossRef

42.

Beigi B, Beigi M, Niyadurupola N, Saldana M, El-Hindy N, Gupta D (2017) Infraorbital Nerve Decompression for Infraorbital Neuralgia/Causalgia following Blowout Orbital Fractures: A Case Series. Craniomaxillofac Trauma Reconstr 10(1):22–28CrossRef

43.

Viennas LK, Wagner MS (2021) Infraorbital Nerve Decompression for Chronic Post Traumatic Neuralgia: A Novel Approach and Review of the Safety and Efficacy of Piezoelectric Surgery on Soft Tissues and Nerves. J Craniofac Surg 32(5):e483–e485

44.

Mok D, Lessard L, Cordoba C, Harris PG, Nikolis A (2004) A review of materials currently used in orbital floor reconstruction. Can J Plast Surg 12(3):134–140CrossRef

Titel: Management of Orbital Floor Fractures: Our Experience in 10 Years
verfasst von: Pasquale Piombino
Stefania Troise
Fabio Maglitto
Simona Barone
Lorenzo Sani
Umberto Committeri
Giovanna Norino
Paola Bonavolontà
Giovanni Salzano
Luigi Angelo Vaira
Giacomo De Riu
Luigi Califano
Publikationsdatum: 02.08.2022
Verlag: Springer India
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 4/2022
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-022-03127-9

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Management of Orbital Floor Fractures: Our Experience in 10 Years