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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Italian Journal of Maxillofacial Surgery 2013 December;24(3):121-5
Orbital floor reconstruction with alloplastic materials: our experience
Amoroso C., D’archivio L.
Operative Unit of Maxillofacial Surgery and ENT Department, “F. Renzetti “ Civic Hospital, ASL Chieti‑Lanciano, Chieti, Italy
AIM: The authors reported their experience about seven age of maxillo-facial traumathology focused on orbital floor fractures type blow out. After a retrospective evaluation of literature the Authors have considered as reliable and punctually a Jaquiéry classification of 2007.
METHODS: This study comprised 327 patients who have been undergoing to orbital floor reconstruction between 2007 and 2014. All of these have been objective to clinical observation, opthalmological examination and CT scan. The most common cause has been accidentally traffic incident (90%) and then personal injury. In all cases had considered the type of face wound to decide the technical approach. The surgery time occurred in all cases within 3 days of the event. The mean follow up was 24 months.
RESULTS: In our experience when it is possible the transconjunctival subtarsal access like surgical approach was the most widely used and offer an optimal exposition of the fracture without any damage to the periorbital structures. To orbital floor surgery used various biomaterials: orbital floor titanium plate, silastic sheet 0.25 mm and 0.50 mm, Mersilene mesh, Geistlich Bio Gide, Osteo Biol Lamina and finally Medpor 0.25 mm. In 96% of our patients not occurred complications.
CONCLUSIONS: The choice of material to be implanted had been dictated by the location of the fracture (second Jaquiéry’s classification) and we believe that in cases ranging from I to III according to this classification the silastic is the most easy material to use for the insertion mode in addition to the excellent malleability, tolerance and absence of complications (95%).