Kyung Hyunwoo, Song Seung Han, Kang Nakheon, Oh Sang-Ha
From the *Okcheon-gun Health Center, Chungbuk; and †Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon, South Korea.
J Craniofac Surg. 2013;24(5):1781-4. doi: 10.1097/SCS.0b013e3182a21076.
The Medpor implant is (Prous polyethylene, Porex Surgical Inc, Newnan, GA, USA) widely used to reconstruct orbital wall defects. However, this implant is commonly associated with numerous complications, including implant displacement. Therefore, the authors have hypothesized that fixation of the Medpor implant with fibrin glue (Tisseel, Baxter Healthcare, Norfolk, UK), compared to other fixation methods, may be more stable and could provide better results than other fixation methods.In this study, 485 patients who had been treated for blowout fractures from 2008 to 2012 were evaluated. Medpor implants fixed using Tisseel were used to reconstruct bone defects of the orbital wall. The patients' hospital records and radiologic images were reviewed according to sex, fracture site, and postoperative complications.According to retrospective chart review and radiologic evaluation, the complication rate was low and included diplopia (7%; 33 patients), enophthalmos (4%; 17 patients), and extraocular movement limitation (3%; 13 patients).This study suggests that Medpor implant fixation using Tisseel is a simpler, more secure, and more suitable for reconstruction of the fractured orbital wall compared with other methods.
Medpor植入物（美国佐治亚州纽南市Porex Surgical公司生产的Prous聚乙烯）被广泛用于重建眶壁缺损。然而，这种植入物通常会引发多种并发症，包括植入物移位。因此，作者推测，与其他固定方法相比，使用纤维蛋白胶（英国诺福克百特医疗保健公司生产的Tisseel）固定Medpor植入物可能更稳定，并且能比其他固定方法产生更好的效果。在本研究中，对2008年至2012年期间接受爆裂性骨折治疗的485例患者进行了评估。使用Tisseel固定的Medpor植入物用于重建眶壁骨缺损。根据性别、骨折部位和术后并发症对患者的医院记录和放射影像进行了复查。根据回顾性病历审查和放射学评估，并发症发生率较低，包括复视（7%；33例患者）、眼球内陷（4%；17例患者）和眼球运动受限（3%；13例患者）。本研究表明，与其他方法相比，使用Tisseel固定Medpor植入物更简单、更安全，更适合于重建骨折的眶壁。
