Choi Tae Joon, Burm Jin Sik, Yang Won Yong, Kang Sang Yoon
Department of Plastic and Reconstructive Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
Arch Plast Surg. 2016 Jan;43(1):84-7. doi: 10.5999/aps.2016.43.1.84. Epub 2016 Jan 15.
Titanium micro-mesh implants are widely used in orbital wall reconstructions because they have several advantageous characteristics. However, the rough and irregular marginal spurs of the cut edges of the titanium mesh sheet impede the efficacious and minimally traumatic insertion of the implant, because these spurs may catch or hook the orbital soft tissue, skin, or conjunctiva during the insertion procedure. In order to prevent this problem, we developed an easy method of inserting a titanium micro-mesh, in which it is wrapped with the aseptic transparent plastic film that is used to pack surgical instruments or is attached to one side of the inner suture package. Fifty-four patients underwent orbital wall reconstruction using a transconjunctival or transcutaneous approach. The wrapped implant was easily inserted without catching or injuring the orbital soft tissue, skin, or conjunctiva. In most cases, the implant was inserted in one attempt. Postoperative computed tomographic scans showed excellent placement of the titanium micro-mesh and adequate anatomic reconstruction of the orbital walls. This wrapping insertion method may be useful for making the insertion of titanium micro-mesh implants in the reconstruction of orbital wall fractures easier and less traumatic.
钛微网植入物因其具有多种优势特性而被广泛应用于眶壁重建。然而，钛网片切割边缘粗糙且不规则的边缘刺阻碍了植入物有效且微创的插入，因为这些刺在插入过程中可能会夹住或钩住眼眶软组织、皮肤或结膜。为了防止这个问题，我们开发了一种简单的钛微网插入方法，即将其用用于包装手术器械的无菌透明塑料薄膜包裹，或附着在内缝合包的一侧。54例患者采用经结膜或经皮入路进行眶壁重建。包裹好的植入物很容易插入，不会夹住或损伤眼眶软组织、皮肤或结膜。在大多数情况下，植入物一次插入成功。术后计算机断层扫描显示钛微网放置良好，眶壁解剖结构重建充分。这种包裹插入方法可能有助于使钛微网植入物在眶壁骨折重建中的插入更容易且创伤更小。
