Abstract
Purpose: This cadaver study evaluates the use of pre-bent 3-dimensional titanium mesh implants for orbital floor and medial wall reconstruction. Design: Nonrandomized comparative study. Participants: Eight human cadaveric heads (n = 16 orbits). Methods: Transcutaneous incisions were used to expose both orbital floors in each cadaveric head. Unilateral orbital floor and medial wall fractures were generated in each specimen. The contralateral orbit remained uninjured. The fractures then were repaired with pre-bent titanium mesh fan plates molded from aluminum templates presenting different sizes. The templates were generated from topographical computed tomography (CT) data previously obtained from normal subjects. The accuracy of orbital reconstruction was evaluated with postoperative CT scans. Main Outcome Measures: The mean value of the distances between the implant and the bony orbit was evaluated. Results: The mean distance between all 16 plates and their respective orbital floors/medial walls was 0.81±0.74 mm. Mean values were 0.68±0.63 mm for the unfractured side and 0.93±0.82 mm for the fractured side. No significant differences were found between orbits when evaluated for side of injury, gender, or size of defect. Conclusion: Pre-bent 3-dimensional titanium mesh implants provide accurate reconstruction of orbital floor and medial orbital wall fractures. The mean implant error was <1 mm for all orbits studied.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1863-1868 |
| Number of pages | 6 |
| Journal | Ophthalmology |
| Volume | 113 |
| Issue number | 10 |
| DOIs | |
| State | Published - Oct 2006 |
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ASJC Scopus subject areas
- Ophthalmology
Cite this
Anatomical 3-dimensional Pre-bent Titanium Implant for Orbital Floor Fractures. / Metzger, Marc C.; Schön, Ralf; Weyer, Nils; Rafii, Amir; Gellrich, Nils Claudius; Schmelzeisen, Rainer; Strong, E Bradley.
In: Ophthalmology, Vol. 113, No. 10, 10.2006, p. 1863-1868.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Anatomical 3-dimensional Pre-bent Titanium Implant for Orbital Floor Fractures
AU - Metzger, Marc C.
AU - Schön, Ralf
AU - Weyer, Nils
AU - Rafii, Amir
AU - Gellrich, Nils Claudius
AU - Schmelzeisen, Rainer
AU - Strong, E Bradley
PY - 2006/10
Y1 - 2006/10
N2 - Purpose: This cadaver study evaluates the use of pre-bent 3-dimensional titanium mesh implants for orbital floor and medial wall reconstruction. Design: Nonrandomized comparative study. Participants: Eight human cadaveric heads (n = 16 orbits). Methods: Transcutaneous incisions were used to expose both orbital floors in each cadaveric head. Unilateral orbital floor and medial wall fractures were generated in each specimen. The contralateral orbit remained uninjured. The fractures then were repaired with pre-bent titanium mesh fan plates molded from aluminum templates presenting different sizes. The templates were generated from topographical computed tomography (CT) data previously obtained from normal subjects. The accuracy of orbital reconstruction was evaluated with postoperative CT scans. Main Outcome Measures: The mean value of the distances between the implant and the bony orbit was evaluated. Results: The mean distance between all 16 plates and their respective orbital floors/medial walls was 0.81±0.74 mm. Mean values were 0.68±0.63 mm for the unfractured side and 0.93±0.82 mm for the fractured side. No significant differences were found between orbits when evaluated for side of injury, gender, or size of defect. Conclusion: Pre-bent 3-dimensional titanium mesh implants provide accurate reconstruction of orbital floor and medial orbital wall fractures. The mean implant error was <1 mm for all orbits studied.
AB - Purpose: This cadaver study evaluates the use of pre-bent 3-dimensional titanium mesh implants for orbital floor and medial wall reconstruction. Design: Nonrandomized comparative study. Participants: Eight human cadaveric heads (n = 16 orbits). Methods: Transcutaneous incisions were used to expose both orbital floors in each cadaveric head. Unilateral orbital floor and medial wall fractures were generated in each specimen. The contralateral orbit remained uninjured. The fractures then were repaired with pre-bent titanium mesh fan plates molded from aluminum templates presenting different sizes. The templates were generated from topographical computed tomography (CT) data previously obtained from normal subjects. The accuracy of orbital reconstruction was evaluated with postoperative CT scans. Main Outcome Measures: The mean value of the distances between the implant and the bony orbit was evaluated. Results: The mean distance between all 16 plates and their respective orbital floors/medial walls was 0.81±0.74 mm. Mean values were 0.68±0.63 mm for the unfractured side and 0.93±0.82 mm for the fractured side. No significant differences were found between orbits when evaluated for side of injury, gender, or size of defect. Conclusion: Pre-bent 3-dimensional titanium mesh implants provide accurate reconstruction of orbital floor and medial orbital wall fractures. The mean implant error was <1 mm for all orbits studied.
UR - http://www.scopus.com/inward/record.url?scp=33748976513&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33748976513&partnerID=8YFLogxK
U2 - 10.1016/j.ophtha.2006.03.062
DO - 10.1016/j.ophtha.2006.03.062
M3 - Article
C2 - 16872676
AN - SCOPUS:33748976513
VL - 113
SP - 1863
EP - 1868
JO - Ophthalmology
JF - Ophthalmology
SN - 0161-6420
IS - 10
ER -