Facial Plast Surg 2014; 30(05): 509-517
DOI: 10.1055/s-0034-1394099
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Orbital Fractures: Pathophysiology and Implant Materials for Orbital Reconstruction

E. Bradley Strong
1   Department of Otolaryngology, University of California, Davis, California
› Author Affiliations
Further Information

Publication History

Publication Date:
14 November 2014 (online)

Abstract

Among midfacial fractures, the frequency of orbital injuries is surpassed only by nasal fractures. A clear understanding of orbital anatomy and the pathophysiology of these injuries is critical to accurate diagnosis, precise surgical reconstruction, and successful clinical outcomes. This chapter reviews the mechanism of injury and pathophysiology of orbital fractures as well as the implant materials that are currently used for surgical reconstruction.

 
  • References

  • 1 Pfeiffer RL. Traumatic Enophthalmos. Trans Am Ophthalmol Soc 1943; 41: 293-306
  • 2 Fujino T, Sugimoto C, Tajima S, Moribe Y, Sato TB. Mechanism of orbital blowout fracture. II. Analysis by high speed camera in two dimentional eye model. Keio J Med 1974; 23 (3) 115-124
  • 3 Phalen JJ, Baumel JJ, Kaplan PA. Orbital floor fractures: a reassessment of pathogenesis. Nebr Med J 1990; 75 (5) 100-103
  • 4 Smith B, Regan Jr WF. Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol 1957; 44 (6) 733-739
  • 5 Waterhouse N, Lyne J, Urdang M, Garey L. An investigation into the mechanism of orbital blowout fractures. Br J Plast Surg 1999; 52 (8) 607-612
  • 6 Ersahin Y, Gülmen V, Palali I, Mutluer S. Growing skull fractures (craniocerebral erosion). Neurosurg Rev 2000; 23 (3) 139-144
  • 7 Potter JK, Ellis E. Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg 2004; 62 (10) 1280-1297
  • 8 Antonyshyn O, Gruss JS, Galbraith DJ, Hurwitz JJ. Complex orbital fractures: a critical analysis of immediate bone graft reconstruction. Ann Plast Surg 1989; 22 (3) 220-233 , discussion 234–235
  • 9 Motoki DS, Mulliken JB. The healing of bone and cartilage. Clin Plast Surg 1990; 17 (3) 527-544
  • 10 Lai A, Gliklich RE, Rubin PA. Repair of orbital blow-out fractures with nasoseptal cartilage. Laryngoscope 1998; 108 (5) 645-650
  • 11 Sargent LA, Fulks KD. Reconstruction of internal orbital fractures with Vitallium mesh. Plast Reconstr Surg 1991; 88 (1) 31-38
  • 12 Rubin PA, Shore JW, Yaremchuk MJ. Complex orbital fracture repair using rigid fixation of the internal orbital skeleton. Ophthalmology 1992; 99 (4) 553-559
  • 13 Fiala TG, Novelline RA, Yaremchuk MJ. Comparison of CT imaging artifacts from craniomaxillofacial internal fixation devices. Plast Reconstr Surg 1993; 92 (7) 1227-1232
  • 14 Gunarajah DR, Samman N. Biomaterials for repair of orbital floor blowout fractures: a systematic review. J Oral Maxillofac Surg 2013; 71 (3) 550-570
  • 15 Strong EB, Fuller SC, Wiley DF, Zumbansen J, Wilson MD, Metzger MC. Preformed vs intraoperative bending of titanium mesh for orbital reconstruction. Otolaryngol Head Neck Surg 2013; 149 (1) 60-66
  • 16 Metzger MC, Schön R, Weyer N , et al. Anatomical 3-dimensional pre-bent titanium implant for orbital floor fractures. Ophthalmology 2006; 113 (10) 1863-1868
  • 17 Kamer L, Noser H, Schramm A, Hammer B. Orbital form analysis: problems with design and positioning of precontoured orbital implants: a serial study using post-processed clinical CT data in unaffected orbits. Int J Oral Maxillofac Surg 2010; 39 (7) 666-672
  • 18 Lieger O, Richards R, Liu M, Lloyd T. Computer-assisted design and manufacture of implants in the late reconstruction of extensive orbital fractures. Arch Facial Plast Surg 2010; 12 (3) 186-191
  • 19 Tang W, Guo L, Long J , et al. Individual design and rapid prototyping in reconstruction of orbital wall defects. J Oral Maxillofac Surg 2010; 68 (3) 562-570
  • 20 Rubin PA, Bilyk JR, Shore JW. Orbital reconstruction using porous polyethylene sheets. Ophthalmology 1994; 101 (10) 1697-1708
  • 21 Kim CY, Jeong BJ, Lee SY, Yoon JS. Comparison of surgical outcomes of large orbital fractures reconstructed with porous polyethylene channel and porous polyethylene titan barrier implants. Ophthal Plast Reconstr Surg 2012; 28 (3) 176-180
  • 22 Rubin JP, Yaremchuk MJ. Complications and toxicities of implantable biomaterials used in facial reconstructive and aesthetic surgery: a comprehensive review of the literature. Plast Reconstr Surg 1997; 100 (5) 1336-1353
  • 23 Hollier LH, Rogers N, Berzin E, Stal S. Resorbable mesh in the treatment of orbital floor fractures. J Craniofac Surg 2001; 12 (3) 242-246
  • 24 Gierloff M, Seeck NG, Springer I, Becker S, Kandzia C, Wiltfang J. Orbital floor reconstruction with resorbable polydioxanone implants. J Craniofac Surg 2012; 23 (1) 161-164
  • 25 Rozema FR, Bos RR, Pennings AJ, Jansen HW. Poly(L-lactide) implants in repair of defects of the orbital floor: an animal study. J Oral Maxillofac Surg 1990; 48 (12) 1305-1309 , discussion 1310
  • 26 Kontio R, Suuronen R, Salonen O, Paukku P, Konttinen YT, Lindqvist C. Effectiveness of operative treatment of internal orbital wall fracture with polydioxanone implant. Int J Oral Maxillofac Surg 2001; 30 (4) 278-285