Titanium Mesh For Orbital Floor 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.

Titanium mesh for orbital floor reconstruction.

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

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. Early decompression is favorable for neural restitution. 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. 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.

The purpose of this case series was to assess the aesthetic and functional outcome of orbital floor reconstruction performed with calvarial bone graft titanium mesh or prolene mesh. Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated. Sing a mirroring technique and a customized titanium mesh printed using a direct metal laser sintering method. 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.

To reconstruct the orbital floor defects there are a lot of reconstruction materials the surgeon must choose one of them. 3 the article concluded that all 3 materials were found to be satisfactory postoperatively and the ideal material for reconstruction is influenced. Nineteen patients who underwent orbital floor reconstruction with individual titanium mesh were included in this study. The role of the titanium mesh is to restore the orbital volume and globe projection by anatomic reconstruction.

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.