Implant malposition and revision surgery in primary orbital fracture reconstructions

Autor: Johanna Snäll, Emilia Marttila, Matti Nikunen, Hanna Rajantie
Přispěvatelé: Department of Oral and Maxillofacial Diseases, HUS Head and Neck Center, Clinicum
Rok vydání: 2021
Předmět:
Reoperation
medicine.medical_specialty
genetic structures
Demographics
Orbital fracture
PREDICTION
Implant malposition
PURE BLOWOUT FRACTURES
03 medical and health sciences
0302 clinical medicine
medicine
Recent trauma
Humans
COMPUTED-TOMOGRAPHY
LATE ENOPHTHALMOS
Orbital Fracture
Prospective cohort study
Patient-specific implants (PSI)
Orbital Fractures
Fracture type
Retrospective Studies
Fixation (histology)
REPAIR
Dental Implants
COMPLICATIONS
business.industry
Retrospective cohort study
030206 dentistry
Plastic Surgery Procedures
3126 Surgery
anesthesiology
intensive care
radiology
313 Dentistry
eye diseases
FLOOR
Surgery
Fracture reconstruction
PROSPECTIVE COHORT
Otorhinolaryngology
030220 oncology & carcinogenesis
VOLUME
RADIATION
Revision surgery
sense organs
Implant
Oral Surgery
business
Orbital Implants
Zdroj: Journal of Cranio-Maxillofacial Surgery. 49:837-844
ISSN: 1010-5182
DOI: 10.1016/j.jcms.2021.04.008
Popis: The aim of the study was to assess factors leading to revision surgery and implant position of primary orbital fracture reconstructions. A retrospective cohort included patients who underwent orbital floor and/or medial wall fracture reconstruction for recent trauma. Demographics, fracture type, surgery and implant-related variables, and postoperative implant position were analyzed. The overall revision surgery rate was 6.5% (15 of 232 surgeries). The rate was highest in combined midfacial fractures with rim involvement (14.0%), lower in zygomatico-orbital fractures (8.7%), and lowest in isolated blowout fractures (3.8%). Fracture type, orbital rim fixation and implant malposition predicted revision. The best positioning was achieved with patient-specific milled titanium implants (mtPSI) and resorbable materials, whereas the poorest with preformed three-dimensional titanium plates. Combined midfacial fractures with rim involvement in particular have a high risk for orbital revision surgery. Within the limitations of the present study, mtPSIs should be preferred in the reconstruction of primary orbital fractures if possible. (C) 2021 The Author(s). Published by Elsevier Ltd on behalf of European Association for Cranio-Maxillo-Facial Surgery.
Databáze: OpenAIRE
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