Comparison of the results of orbital floor reconstruction using different materials

ABSTRACT

Complications of orbital floor reconstruction is a big challenge for patients and specialists. The purpose of this study was to investigate the results and complications of the orbital floor reconstruction using different materials and to compare them. In This Retrospective study consisted of 12 cases with orbital floor fractures treated at Imam Reza Hospital of Tabriz Medical University, Iran, between June 2012 and May 2013. Patients' clinical data were retrospectively analyzed for gender, age, reconstruction material, and complications. Autogenous bone, Nasal septum, titanium mesh, and Medpor were implanted under the periosteum of the orbital floor in 3,2,4 and 3 cases respectively. All of the patients except 3 cases, showed satisfactory appearance. Diplopia and limitation of globe movement were resolved in 50% of the cases. Complete infraorbital nerve recovery were observed in 2 cases after 8 weeks. Subciliary incision was adopted in our surgery. There was no statistically significant difference among groups of patients in regard to the effectiveness of treatment using different materials. Appropriate diagnosis, early intervention, proper material selection and accurate orbital floor reconstruction were the key factors for successful treatment