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Use of x-ray film implant for the repair of orbital fractures.
- Source :
-
Ophthalmic plastic and reconstructive surgery [Ophthalmic Plast Reconstr Surg] 2013 Sep-Oct; Vol. 29 (5), pp. 393-5. - Publication Year :
- 2013
-
Abstract
- Purpose: To evaluate the experience with sterilized x-ray film in the repair of orbital blow-out fractures (BOFs).<br />Methods: A retrospective review of case notes from 56 patients with orbital BOF repaired using sterilized x-ray film onlay implants at 2 institutions between November 2004 and December 2010. Patient demographics, timing of surgery, surgical approach, postoperative complications, and length of follow up were recorded.<br />Results: Fifty-six patients (44 men, 12 women) received sterilized x-ray film implants during the 6-year study period. Mean age at the time of repair was 29 years (range 4-85 years). For 68% of patients, surgical repair was performed within 2 weeks of injury. Average length of postoperative follow up was 5.5 months (range 1-36 months), 48% had follow up >3 months. Following surgical repair, diplopia in primary or down gaze reduced from 98% to 4% and enophthalmos ≥2 mm reduced from 21% to 5% cases. One patient required a second operation for repositioning of an incompletely reduced fracture. A second patient presented 9 months postoperatively with recurrent episodes of proptosis, and the implant and its surrounding pseudocapsule were subsequently removed. There were no cases of visual loss, implant infection, or migration.<br />Conclusions: This series has demonstrated that in selected orbital fractures sterilized x-ray film can provide a safe, effective, and low-cost onlay implant.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Male
Middle Aged
Orbital Fractures diagnostic imaging
Postoperative Complications
Plastic Surgery Procedures
Retrospective Studies
Tomography, X-Ray Computed
Young Adult
Orbital Fractures surgery
Prostheses and Implants
Prosthesis Implantation
X-Ray Film
Subjects
Details
- Language :
- English
- ISSN :
- 1537-2677
- Volume :
- 29
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Ophthalmic plastic and reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 24022351
- Full Text :
- https://doi.org/10.1097/IOP.0b013e31829d02ab