Tabrizi Reza, Ozkan Taha Birkan, Mohammadinejad Cyrus, Minaee Nasim
Craniomaxillofacial Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
J Craniofac Surg. 2010 Jul;21(4):1142-6. doi: 10.1097/SCS.0b013e3181e57241.
This is a retrospective study with the aim to evaluate orbital floor reconstruction with autogenous bone and alloplastic materials consisting of Medpor, Medpor Titan, Titanium, and resorbable plates. We evaluated 101 patients with pure blow-out fracture or concomitant with zygomatic maxillary fracture. We reviewed patients' documentation before and after surgery and 12 months after reconstruction. Thirteen patients with Medpor, 42 patients with Medpor Titan, 30 patients with Titanium, 5 patients with calvarial bone graft, 8 patients with iliac bone graft, and 3 patients with bioresorbable plates were treated. Medpore and Medpor-Titan-Medpor 1.5 to 2 mm in thickness were used. Autogenous bone graft 3 to 5 mm in thickness was used. Results showed that autogenous and alloplastic materials could be used in orbital floor reconstruction; autogenous bone graft had minimal postoperative infection, and it is a good choice in major orbital defects. Titanium mesh and MTM with excellent structural support are used in large orbital floor defects. Resorbable plates are good alternative materials in pediatric patients.
这是一项回顾性研究，旨在评估使用自体骨以及由Medpor、Medpor Titan、钛和可吸收板组成的异体材料进行眶底重建的情况。我们评估了101例单纯性爆裂性骨折或合并颧上颌骨折的患者。我们查阅了患者手术前后以及重建后12个月的病历资料。治疗了13例使用Medpor的患者、42例使用Medpor Titan的患者、30例使用钛的患者、5例使用颅骨骨移植的患者、8例使用髂骨骨移植的患者以及3例使用生物可吸收板的患者。使用了厚度为1.5至2毫米的Medpore和Medpor - Titan - Medpor。使用了厚度为3至5毫米的自体骨移植。结果表明，自体材料和异体材料均可用于眶底重建；自体骨移植术后感染最少，是严重眶缺损的良好选择。钛网和具有出色结构支撑的MTM用于大的眶底缺损。可吸收板是儿科患者的良好替代材料。
