USE OF VICRYL (POLYGLACTIN-910) MESH IMPLANT FOR CORRECTING ENOPHTHALMOS AND HYPOOPHTHALMOS - A STUDY OF 16 PATIENTS

被引:13
作者
MAURIELLO, JA
MCSHANE, R
VOGLINO, J
机构
[1] Department of Plastic surgery, Mountainside Hospital, NJ, Montclair
[2] Department of Ophthalmology, UMD-New Jersey Medical School, Eye Institute of New Jersey, Newark
关键词
Orbital floor fracture; Orbital floor implant; Silicone implant; Vicryl mesh;
D O I
10.1097/00002341-199012000-00004
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Vicryl mesh (polyglactin-910) implants were used to reconstruct the orbital floor to correct enophthalmos or hypo-ophthalmos (globe ptosis) in 16 patients. The main advantages of Vicryl mesh over other alloplastic implants is that (a) it is absorbed by host tissues, and, once absorbed, it will not cause long-term complications; (b) it is layered and is cut from folded sheets into the appropriate size, shape, and thickness for the treatment of enophthalmos or hypo-ophthalmos; and (c) it is soft and pliable and, therefore, is unlikely to erode orbital structures. We followed all 16 patients for a minimum period of 6 months after surgery and observed no significant adverse reactions to the mesh; 15 of the patients had good surgical results with a mean improvement of 1.4 mm in enophthalmos and 0.6 mm in hypo-ophthalmos. After surgery, one patient with combined medial wall and floor fractures developed enophthalmos that was 2 mm more severe than the degree of preoperative enophthalmos. Vicryl mesh should be considered an alternative to both nonautoge-nous implants and autogenous grafts in orbital floor fracture repair especially for correction of mild and possibly moderate degrees of enophthalmos and hypo-ophthalmos. © 1990 Raven Press, Ltd., New York.
引用
收藏
页码:247 / 251
页数:5
相关论文
共 22 条
[1]  
Mauriello J.A., Flanagan J.C., Peyster R.G., An unusual late complication of orbital floor fracture repair, Ophthalmology, 91, pp. 102-106, (1984)
[2]  
Weintraub B., Cucin R.L., Jacobs M., Extrusion of an infected orbital floor prosthesis after 15 years, Plast Reconstr Surg, 68, pp. 586-587, (1981)
[3]  
Mauriello J.A., Complications of orbital fracture repair, Orbital Trauma in Ophthalmic Plastic and Reconstructive Surgery, pp. 99-116, (1987)
[4]  
Mauriello J.A., Fiore P.M., Kotch M., Dacryocystitis: Late complication of orbital floor fracture repair with silicone implant, Ophthalmology, 94, pp. 248-250, (1987)
[5]  
Burres S.A., Cohn A.M., Mathog R.H., Repair of orbital blowout fractures with Marlex mesh and Gelfilm, Laryngoscope, 91, pp. 1881-1886, (1981)
[6]  
Loftfield K., Jordan D.R., Fowler J., Erson R.L., Orbital cyst formation associated with Gelfilm use, Ophthalmic Plast Reconstr Surg, 3, pp. 187-191, (1988)
[7]  
Converse J., Smith B., Obear M.F., Wood-Smith D., Orbital blowout fractures: A ten year study, Plast Reconstr Surg, 39, pp. 20-36, (1967)
[8]  
Putterman A., Stevens T., Urist S., Nonsurgical management of blowout fractures of the orbital floor, Am J Ophthalmol, 77, pp. 232-239, (1974)
[9]  
Kroll A.J., Wolper J., Orbital blowout fractures, Am J Oph-Thalmol, 64, pp. 1169-1172, (1967)
[10]  
Goldman R.J., Hessbury P.C., Appraisal of surgical correction in 130 cases of orbital floor fracture, Am J Ophthalmol, 76, pp. 152-155, (1973)