Comparison of the outcomes of blowout fracture repair according to the orbital implant

J Craniofac Surg. 2011 Jul;22(4):1422-5. doi: 10.1097/SCS.0b013e31821cc2b5.

Abstract

Purpose: The clinical outcomes of blowout fracture repair classified by 2 types of orbital implants (Macropore and Medpor) were compared.

Procedures: The medical records of 331 patients with orbital fractures that were treated surgically by 1 surgeon at Gachon University Gil hospital, from March 2007 to March 2009, were reviewed. Patients who had diplopia or limited extraocular motion, significant enophthalmos (>2 mm), or a large fracture on a computed tomographic scan (>50% of the floor area) were enrolled. The clinical outcomes were compared between patients who received surgical repair using Macropore and those who had surgical repair using Medpor.

Results: One hundred six patients had surgical repair using Macropore and 225 patients were surgically treated with Medpor. Both the Macropore (n = 106) and the Medpor groups (n = 225) showed significant clinical improvement. The degree of preoperative/postoperative diplopia and limited extraocular motion was not different between the 2 groups. In addition, there was no difference in the preoperative/postoperative enophthalmos between the 2 groups.

Conclusions: Both Macropore and Medpor were associated with equally safe and satisfactory patient outcomes without notable complications.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorbable Implants
  • Adult
  • Bone Substitutes / chemistry
  • Bone Substitutes / classification*
  • Conjunctiva / surgery
  • Diplopia / surgery
  • Enophthalmos / surgery
  • Eye Movements / physiology
  • Female
  • Follow-Up Studies
  • Humans
  • Length of Stay
  • Male
  • Ocular Motility Disorders / surgery
  • Orbit / surgery
  • Orbital Fractures / surgery*
  • Orbital Implants / classification
  • Periosteum / surgery
  • Plastic Surgery Procedures / methods
  • Polyesters / chemistry
  • Polyethylenes / chemistry
  • Prosthesis-Related Infections / etiology
  • Recovery of Function / physiology
  • Retrospective Studies
  • Safety
  • Treatment Outcome

Substances

  • Bone Substitutes
  • Medpor
  • Polyesters
  • Polyethylenes
  • poly(lactide)