Titanium Mesh For Orbital Floor Reconstruction

Those fractures were reconstructed using titanium mesh.

Titanium mesh for orbital floor reconstruction. 3 the article concluded that all 3 materials were found to be satisfactory postoperatively and the ideal material for reconstruction is influenced. Titanium mesh is one of the commonly used implants to repair orbital wall defects because it is highly biocompatible and can be readily shaped into the defects 15 18 however few studies have investigated personalized titanium mesh for maxillary and orbital floor reconstruction especially combined with free fibula flaps. Mirroring of the healthy orbit at the affected site virtual design of a patient specific orbital floor mesh cam procedures for direct laser sintering of the customized titanium mesh and surgical insertion of the device. Postoperative computed tomography scans recorded after three dimensional 3d reconstruction were used to evaluate the symmetry of the orbital floor including orbital floor height orbital floor eminence globe projection orbital volume and surface.

Successful use of titanium mesh sheets in the reconstruction of orbital wall defects of up to 2 5 x 2 5 cm following trauma and followed up for a mean of 24 months is demonstrated. A study was undertaken to evaluate the safety of magnetic resonance imaging mri of metallic implants used in cranio orbital reconstruction stainless steel wire and titanium and vitallium plates and also to compare the degree of artifact created on computed tomographic ct scanning and mri by each material. Nineteen patients who underwent orbital floor reconstruction with individual titanium mesh were included in this study. Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated.

In general there are no changes in the orbital contents and the purpose of the titanium. This reconstructive protocol involves 4 steps. Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor. 19 however during reconstruction of the orbital floor after tumor resection the periorbital fat pad and extraocular muscles are preserved.

The authors share their experience with 10 patients suffering from orbital trauma causing orbital floor fracture. This material is especially useful in orbital floor and medial wall blow out fractures and is a valuable additional material for use in maxillofacial reconstruction. A study from 2009 assessed the autogenous calvarial bone graft and alloplastic options titanium and mesh used in 10 patients with orbital floor reconstruction after traumatic maxillary fracture. The role of the titanium mesh is to restore the orbital volume and globe projection by anatomic reconstruction.

Early decompression is favorable for neural restitution.