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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2002 April;13(1):3-7
PDS® 0.25 mm “Orbital Floor”: a biocompatible material used in the repair of fractures of the orbital floor. Evaluation of 61 cases
Groos N., Barriere P., Wilk A., Meyer C.
Department of Maxillofacial Surgery University Hospital of Strasbourg, Strasbourg, France
Background. PDS® 0.25 “Orbital Floor” (polydioxanone) is an absorbable, non-osteoconductive bio-compatible material that is synthetic (therefore absolutely safe as regards the risk of viral or prion contamination) and is formed in sheets of 0.25 mm in thickness.
Methods. We have used this material in 61 patients with a fracture of the orbital floor. The fractures involved minimum loss of bone substance (less than 1 cm2), fragmentation fractures or “trap-door” fractures in which reduction was unstable.
Results. This material has made it possible to obtain a transitory interposition between the periorbit and the site of the fracture, to avoid recurrence of hernia of the fatty pad or of incarceration of the soft portions, for the period required for the bone to heal.
Conclusions. Beside of two intra-orbital hematoma that occurred in the beginning of our work, no complications related to the material were noted in this series after a follow-up period of at least 2 years.