Silva Leonardo de Freitas, Magalhães Tibério Gomes, Santana Diego Matos, Pimentel Gabriel Gomes, Faverani Leonardo Perez, Mello Manoel de Jesus Rodrigues
*Oral and Maxillofacial Surgery of Doctor José Frota Institute †Oral and Maxillofacial Surgery of Doctor José Frota Institute ‡Oral and Maxillofacial Surgery of Batista Memorial Hospital, Ceará §Araçatuba Dental School-UNESP, São Paulo ||Federal University of Ceará, Doctor José Frota Institute, Fortaleza, Ceará, Brazil.
J Craniofac Surg. 2015 Oct;26(7):e603-5. doi: 10.1097/SCS.0000000000002049.
The blowout fractures may be classified as pure or impure depending on the associated structures. There are 2 main theories attempting to describe the mechanism of injury, the hydraulic, and blocking mechanism. The complications of this type of fracture may involve diplopia, enophthalmos, and ocular movement restriction. Several materials are available for the reconstruction of orbital floor, including the titanium mesh, which present great properties, such as easy modeling and stabilization, small thickness, and shape maintenance. There, however, are disadvantages such as the possibility of adherence formation. The aim of this report is to describe the case of a patient with an 8-month blowout fracture sequel, presenting extensive enophthalmos and treated by affixing a titanium mesh associated with bovine pericardium membrane in the orbital floor. Therefore, based on a 2-year follow-up, it was possible to observe how effective the association between these 2 materials in solving the case was.
爆裂性骨折可根据相关结构分为单纯性或复杂性。有两种主要理论试图描述损伤机制，即液压机制和阻塞机制。这类骨折的并发症可能包括复视、眼球内陷和眼球运动受限。有几种材料可用于眶底重建，包括钛网，其具有易于塑形和固定、厚度小以及形状维持等优良特性。然而，也存在诸如形成粘连的可能性等缺点。本报告的目的是描述一例患有8个月爆裂性骨折后遗症的患者，该患者表现出广泛的眼球内陷，并通过在眶底固定与牛心包膜相关联的钛网进行治疗。因此，基于两年的随访，得以观察这两种材料联合使用解决该病例的效果如何。
