Moubarak, M., Saied, S., Shoeib, M., Hassanyn, M. (2023). Reconstruction of Orbital Blow-Out Fracture by Titanium Mesh Versus Autogenous Bone. The Egyptian Journal of Plastic and Reconstructive Surgery, 47(2), 123-132. doi: 10.21608/ejprs.2023.291381
Mahmoud A Moubarak; Samia M. A. Saied; Mohamed A Shoeib; Mohamed A Hassanyn. "Reconstruction of Orbital Blow-Out Fracture by Titanium Mesh Versus Autogenous Bone". The Egyptian Journal of Plastic and Reconstructive Surgery, 47, 2, 2023, 123-132. doi: 10.21608/ejprs.2023.291381
Moubarak, M., Saied, S., Shoeib, M., Hassanyn, M. (2023). 'Reconstruction of Orbital Blow-Out Fracture by Titanium Mesh Versus Autogenous Bone', The Egyptian Journal of Plastic and Reconstructive Surgery, 47(2), pp. 123-132. doi: 10.21608/ejprs.2023.291381
Moubarak, M., Saied, S., Shoeib, M., Hassanyn, M. Reconstruction of Orbital Blow-Out Fracture by Titanium Mesh Versus Autogenous Bone. The Egyptian Journal of Plastic and Reconstructive Surgery, 2023; 47(2): 123-132. doi: 10.21608/ejprs.2023.291381
Reconstruction of Orbital Blow-Out Fracture by Titanium Mesh Versus Autogenous Bone
1The Department of Plastic Surgery, Faculty of Medicine, Luxor University
2The Department of Plastic Surgery, Faculty of Medicine, Sohag University
3The Department of Plastic Surgery, Faculty of Medicine, Sohag University, Sohag University
Abstract
Orbital trauma may cause significant facial deformities while also affecting eyesight and the nerve system of the face. Most orbital floor fractures are open defect injuries, which separates them from other face bone fractures [10]. Forty percent of the craniofacial injuries are orbital fractures; the orbital floor, because it is the thinnest of the orbit's four walls, is the one that sustains injuries the most often. The relevant literature indicates that these fractures account for 67.84% of all instances of the bones around the eye. Generally, the fracture of these bones related to orbital floor may be divided into isolated and complex fractures; the first is isolated to bones around orbit, while other one is involving other around orbit bones a: cheek bones, forehead bones and naso-ethmoidal [5]. Objective: Our goal of the research to assess whether titanium mesh implants or cranial bone grafts were more appropriate for internal orbital repair for clean rupture fractures. Methods: The case series method was utilized in this prospective and retrospective analysis on patients who had internal orbital reconstruction using titanium mesh (0.4mm thickness) or a skull grafting (external table) at Sohag University Hospital and Luxor University Hospital for 2 years Study. Included 40 men and women suffering from ex-plosive orbital fractures. Patients were divided into 20 patients who underwent surgery using titanium mesh (Group A) and 20 patients who underwent surgery using autologous bone graft (Group B). Results: Relationship between before and after surgery with titanium mesh ophthalmic problems did not show a statistically significant phenomenon (blindness), and the data were statistically significant (double vision, motion restriction, suborbital hypoesthesia, vertical abnormality), but in case of relation between autogenous bone and titanium mesh ophthalmic problems in preoperative surgery do not show statistically significant values for all parameters. Conclusions: Autologous bone grafts do not cause immunological problems, but the number of donor sites is limited. There may also be problems related to pain in the second site, mismatch of mechanical properties of the host bone, and 123 tendency to resorption. Titanium mesh, a synthetic biomaterial, is an expensive but good alternative and can overcome these limitations.
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