Resorbable Implants for Orbital Fractures: A Systematic Review

Annals of Plastic Surgery
Sathyadeepak RameshRobert Goldberg

Abstract

Orbital fractures are one of the most common sequelae of facial trauma. The objective of this study was to summarize published data for resorbable implants in orbital reconstruction, including polymer composition, degradation characteristics, osteoconductivity, and complications such as enophthalmos, diplopia, and peri-implant inflammation. A literature search of the National Library of Medicine was performed via PubMed using the keyword resorbable orbital implant. A total of 27 studies were reviewed. Strength of data was assessed according to the Oxford Centre criteria. Most commercially available implants provide adequate tensile strength for up to 6 months (with the exception of polydioxanone, which loses strength within 1 month, and poly(D,L-lactide) within 3 months). This is sufficient for the isolated orbital floor or medial wall (tensile strength, ~300 MPa) but insufficient for reconstruction of load-bearing areas (eg, the inferior orbital rim with tensile strength of ~1.2 GPa). Thicker products (>1 mm) have increased risk for delayed inflammation than thinner products. Postoperative complications including delayed inflammation (0%-9%), eyelid malposition (0%-5%), enophthalmos (5%-16%), diplopia (0%-16%), infection (0%-2...Continue Reading

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Citations

Oct 20, 2018·Archives of Craniofacial Surgery·Jae Doo JooHyon Surk Kim
Jul 8, 2020·Archives of Craniofacial Surgery·Joo Sung JungHyonsurk Kim
Mar 12, 2019·Ophthalmic Plastic and Reconstructive Surgery·Sathyadeepak Ramesh, Robert Goldberg
May 10, 2020·Archives of Craniofacial Surgery·Hyeon Uk Jang, So Young Kim
Mar 12, 2019·Ophthalmic Plastic and Reconstructive Surgery·Stephanie M Young, Gangadhara Sundar
Jan 9, 2020·Archives of Craniofacial Surgery·Dong Hee Kang
Dec 5, 2020·The Journal of Craniofacial Surgery·Amir WolffAdi Rachmiel
Nov 17, 2020·The Journal of Craniofacial Surgery·Eung Hyun Kim, Soo Hyang Lee
Jan 29, 2022·Plastic and Reconstructive Surgery·Lucas A DvoracekJesse A Goldstein

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