CC BY-NC 4.0 · Arch Plast Surg 2014; 41(05): 480-485
DOI: 10.5999/aps.2014.41.5.480
Original Article

Three-Dimensional Pre-Bent Titanium Implant for Concomitant Orbital Floor and Medial Wall Fractures in an East Asian Population

Kyung Min Lee
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
,
Ji Ung Park
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea
,
Sung Tack Kwon
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
,
Suk Wha Kim
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
,
Eui Cheol Jeong
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Korea
Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea
› Author Affiliations

Background The objective of this article is to evaluate clinical outcomes of combined orbital floor and medial wall fracture repair using a three-dimensional pre-bent titanium implant in an East Asian population.

Methods Clinical and radiologic data were analyzed for 11 patients with concomitant orbital floor and medial wall fractures. A combined transcaruncular and inferior fornix approach with lateral canthotomy was used for the exposure of fractures. An appropriate three-dimensional preformed titanium implant was selected and inserted according to the characteristics of a given defect.

Results Follow-up time ranged from 2 to 6 months (median, 4.07 months). All patients had a successful treatment outcome without any complications. Clinically significant enophthalmos was not observed after treatment.

Conclusions Three-dimensional pre-bent titanium implants are appropriate for use in the East Asian population, with a high success rate of anatomic restoration of the orbital volume and prevention of enophthalmos in combined orbital floor and medial wall fracture cases.

The authors wish to thank Dr. Aram Harijan for his assistance with the use of English in this manuscript.




Publication History

Received: 30 September 2013

Accepted: 18 December 2013

Article published online:
05 May 2022

© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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