The impact of polydioxanone (PDS) foil thickness on reconstruction of the orbital geometry after isolated orbital floor fractures.
Cadaver study
Orbital floor reconstruction
Orbital floor repair
Orbital fracture
Orbital geometry
Orbital height
Orbital volume
Polydioxanone (PDS) foil
Resorbable orbital implant
Journal
European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350
Informations de publication
Date de publication:
28 Jun 2024
28 Jun 2024
Historique:
received:
02
04
2024
accepted:
14
06
2024
medline:
28
6
2024
pubmed:
28
6
2024
entrez:
28
6
2024
Statut:
aheadofprint
Résumé
The orbital floor is frequently involved in head trauma. Current evidence on the use of reconstruction materials for orbital floor repair is inconclusive. Accordingly, this study aimed to compare the impact of polydioxanone (PDS) foil thickness on reconstruction of the orbital geometry after isolated orbital floor fractures. Standardized isolated orbital floor fractures were symmetrically created in 11 cadaver heads that provided 22 orbits. PDS foils with thicknesses of 0.25-0.5 mm were inserted. Computed tomography (CT) scans of the native, fractured, and reconstructed orbits were obtained, and orbital volume, orbital height, and foil bending were measured. Orbital volume and height significantly (p < 0.01) increased after the creation of isolated orbital floor fractures and significantly (p = 0.001) decreased with overcorrection of the orbital geometry after orbital floor reconstruction with PDS 0.25 mm or PDS 0.5 mm. The orbital geometry reconstruction rate did not differ significantly with respect to foil thickness. However, compared to PDS 0.5 mm, the use of PDS 0.25 mm resulted in quantitatively higher reconstructive accuracy and a restored orbital volume that did not significantly differ from the initial volume. Orbital floors subjected to isolated fractures were successfully reconstructed using PDS regardless of foil thickness, with overcorrection of the orbital geometry. Due to its lower flexural stiffness, PDS 0.25 mm appeared to provide more accurate orbital geometry reconstruction than PDS 0.5 mm, although no significant difference in reconstructive accuracy between PDS 0.25 mm and PDS 0.5 mm was observed in this cadaveric study.
Identifiants
pubmed: 38940951
doi: 10.1007/s00068-024-02585-w
pii: 10.1007/s00068-024-02585-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Boffano P, et al. European Maxillofacial Trauma (EURMAT) project: a multicentre and prospective study. J Craniomaxillofac Surg. 2015;43(1):62–70.
pubmed: 25457465
doi: 10.1016/j.jcms.2014.10.011
Nagasao T, et al. Interaction of hydraulic and buckling mechanisms in blowout fractures. Ann Plast Surg. 2010;64(4):471–6.
pubmed: 20224346
doi: 10.1097/SAP.0b013e3181a6c288
Burnstine M.A. Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis. Ophthalmology. 2002;109(7):1207–10. discussion 1210-1; quiz 1212-3.
Esmail MEK et al. Resorbable polylactic acid polymer plates in repair of blow-out orbital floor fractures. Eur J Ophthalmol, 2020: p. 1120672120928005.
Gerressen M, et al. Radiologic and facial morphologic long-term results in treatment of orbital floor fracture with flexible absorbable alloplastic material. J Oral Maxillofac Surg. 2012;70(10):2375–85.
pubmed: 22771098
doi: 10.1016/j.joms.2012.05.023
Mok D, et al. A review of materials currently used in orbital floor reconstruction. Can J Plast Surg. 2004;12(3):134–40.
pubmed: 24115885
pmcid: 3792801
doi: 10.1177/229255030401200302
Baino F. Biomaterials and implants for orbital floor repair. Acta Biomater. 2011;7(9):3248–66.
pubmed: 21651997
doi: 10.1016/j.actbio.2011.05.016
Avashia YJ, et al. Materials used for reconstruction after orbital floor fracture. J Craniofac Surg. 2012;23(7 Suppl 1):1991–7.
pubmed: 23154365
Leitlinie A. Rekonstruktion von Orbitadefekten 2013.
Iizuka T, et al. Reconstruction of orbital floor with polydioxanone plate. Int J Oral Maxillofac Surg. 1991;20(2):83–7.
pubmed: 1904906
doi: 10.1016/S0901-5027(05)80712-X
Ramesh S, Hubschman S, Goldberg R. Resorbable Implants for Orbital Fractures: a systematic review. Ann Plast Surg. 2018;81(3):372–9.
pubmed: 29851726
doi: 10.1097/SAP.0000000000001504
Röpke E, Bloching M. [Materials used in reconstructive surgery of the orbit]. Klin Monbl Augenheilkd. 2004;221(11):985–91.
pubmed: 15562365
doi: 10.1055/s-2004-813686
Beck-Broichsitter BE, et al. Reconstruction of the orbital floor with polydioxanone: a long-term clinical survey of up to 12 years. Br J Oral Maxillofac Surg. 2015;53(8):736–40.
pubmed: 26051867
doi: 10.1016/j.bjoms.2015.05.010
Merten HA, Luhr HG. Resorbable synthetics (PDS foils) for bridging extensive orbital wall defects in an animal experiment comparison. Fortschr Kiefer Gesichtschir. 1994;39:186–90.
pubmed: 8088660
Gierloff M, et al. Orbital Floor Reconstruction with Resorbable Polydioxanone implants. J Craniofac Surg. 2012;23(1):161–4.
pubmed: 22337397
doi: 10.1097/SCS.0b013e3182413edc
Kwon H, et al. The role of Resorbable plate and Artificial Bone Substitute in Reconstruction of large Orbital Floor defect. Biomed Res Int. 2016;2016:p1358312.
doi: 10.1155/2016/1358312
Baumann A, et al. Orbital floor reconstruction with an alloplastic resorbable polydioxanone sheet. Int J Oral Maxillofac Surg. 2002;31(4):367–73.
pubmed: 12361068
doi: 10.1054/ijom.2001.0219
Holtmann H, et al. Orbital floor fractures–short- and intermediate-term complications depending on treatment procedures. Head Face Med. 2016;12:1–1.
pubmed: 26729217
pmcid: 4700729
doi: 10.1186/s13005-015-0096-3
Seifert LB et al. Orbital floor fractures: epidemiology and outcomes of 1594 reconstructions. Eur J Trauma Emerg Surg, 2021.
Birkenfeld F, et al. Mechanical properties of collagen membranes: are they sufficient for orbital floor reconstructions? J Craniomaxillofac Surg. 2015;43(2):260–3.
pubmed: 25555893
doi: 10.1016/j.jcms.2014.11.020
Birkenfeld F, et al. Forces affecting orbital floor reconstruction materials–a cadaver study. J Craniomaxillofac Surg. 2013;41(1):e24–8.
pubmed: 22727899
doi: 10.1016/j.jcms.2012.05.001
Birkenfeld F, et al. Mechanical properties of collagen membranes modified with pores–are they still sufficient for orbital floor reconstruction? Br J Oral Maxillofac Surg. 2015;53(10):957–62.
pubmed: 26255542
doi: 10.1016/j.bjoms.2015.07.009
Birkenfeld F, et al. Forces charging the orbital floor after fractures. J Craniofac Surg. 2011;22(5):1641–6.
pubmed: 21959404
doi: 10.1097/SCS.0b013e31822e5f4d
Birkenfeld F, et al. Maximum forces applied to the orbital floor after fractures. J Craniofac Surg. 2012;23(5):1491–4.
pubmed: 22976643
doi: 10.1097/SCS.0b013e31826701db
Wi JM, Sung KH, Chi M. Orbital volume restoration rate after orbital fracture’; a CT-based orbital volume measurement for evaluation of orbital wall reconstructive effect. Eye (Lond). 2017;31(5):713–9.
pubmed: 28085134
doi: 10.1038/eye.2016.311
Kim JH, Wong B. Analysis of cartilage-polydioxanone foil composite grafts. Facial Plast Surg. 2013;29(6):502–5.
pubmed: 24327249
pmcid: 4141679
doi: 10.1055/s-0033-1360593
Sigron GR et al. Three-dimensional analysis of isolated Orbital Floor fractures pre- and Post-reconstruction with Standard Titanium Meshes and Hybrid patient-specific implants. J Clin Med, 2020. 9(5).
Zimmerer RM, et al. A prospective multicenter study to compare the precision of posttraumatic internal orbital reconstruction with standard preformed and individualized orbital implants. J Craniomaxillofac Surg. 2016;44(9):1485–97.
pubmed: 27519662
doi: 10.1016/j.jcms.2016.07.014
Rana M, et al. Increasing the accuracy of orbital reconstruction with selective laser-melted patient-specific implants combined with intraoperative navigation. J Oral Maxillofac Surg. 2015;73(6):1113–8.
pubmed: 25981837
doi: 10.1016/j.joms.2015.02.014
Hwang WJ, et al. Analysis of Orbital volume measurements following reduction and internal fixation using Absorbable Mesh plates and screws for patients with Orbital Floor Blowout fractures. J Craniofac Surg. 2017;28(7):1664–9.
pubmed: 28834830
doi: 10.1097/SCS.0000000000003730
Andrades P, et al. Degrees of tolerance in post-traumatic orbital volume correction: the role of prefabricated mesh. J Oral Maxillofac Surg. 2009;67(11):2404–11.
pubmed: 19837309
doi: 10.1016/j.joms.2008.11.024
Park HY, et al. Quantitative assessment of increase in orbital volume after orbital floor fracture reconstruction using a bioabsorbable implant. Graefes Arch Clin Exp Ophthalmol. 2022;260(9):3027–36.
pubmed: 35262763
doi: 10.1007/s00417-022-05610-z
Hammer B, Prein J. Correction of post-traumatic orbital deformities: operative techniques and review of 26 patients. J Craniomaxillofac Surg. 1995;23(2):81–90.
pubmed: 7790512
doi: 10.1016/S1010-5182(05)80453-6
Zimmerer RM, et al. Is there more to the clinical outcome in posttraumatic reconstruction of the inferior and medial orbital walls than accuracy of implant placement and implant surface contouring? A prospective multicenter study to identify predictors of clinical outcome. J Cranio-Maxillofacial Surg. 2018;46(4):578–87.
doi: 10.1016/j.jcms.2018.01.007
Snäll J, et al. Does postoperative orbital volume predict postoperative globe malposition after blow-out fracture reconstruction? A 6-month clinical follow-up study. Oral Maxillofac Surg. 2019;23(1):27–34.
pubmed: 30747349
pmcid: 6394713
doi: 10.1007/s10006-019-00748-3
Ebrahimi A, et al. Enophthalmos and Orbital volume changes in Zygomaticomaxillary Complex fractures: is there a correlation between them? J Oral Maxillofac Surg. 2019;77(1):3.
doi: 10.1016/j.joms.2018.08.028
Ahn HB, et al. Prediction of enophthalmos by computer-based volume measurement of orbital fractures in a Korean population. Ophthalmic Plast Reconstr Surg. 2008;24(1):36–9.
pubmed: 18209638
doi: 10.1097/IOP.0b013e31815eb7ce
Pedemonte C, et al. Can customized implants correct enophthalmos and delayed diplopia in post-traumatic orbital deformities? A volumetric analysis. Int J Oral Maxillofac Surg. 2016;45(9):1086–94.
pubmed: 27157630
doi: 10.1016/j.ijom.2016.04.007
Shin JW, et al. An analysis of pure blowout fractures and Associated ocular symptoms. J Craniofac Surg. 2013;24(3):703–7.
pubmed: 23714863
doi: 10.1097/SCS.0b013e31829026ca
Baumann A, Sinko K, Dorner G. Late Reconstruction of the Orbit with patient-specific implants using computer-aided planning and Navigation. J Oral Maxillofac Surg. 2015;73(12 Suppl):S101–6.
pubmed: 26608137
doi: 10.1016/j.joms.2015.06.149
Gellrich NC, et al. Computer-assisted secondary reconstruction of unilateral posttraumatic orbital deformity. Plast Reconstr Surg. 2002;110(6):1417–29.
pubmed: 12409759
Strong EB, et al. Preformed vs intraoperative bending of titanium mesh for orbital reconstruction. Otolaryngol Head Neck Surg. 2013;149(1):60–6.
pubmed: 23482478
doi: 10.1177/0194599813481430
Foerster Y, et al. Ultra-high Molecular Weight Polyethylene (marPOR) is a suitable material for the Reconstruction of Orbital Floor fracture defects in human cadavers. Journal of Maxillofacial and Oral Surgery; 2022.
Parameswaran A et al. Orbital Fractures. 2021. pp. 1201–1250.
Kruber D, et al. Preforming of polydioxanone sheets for orbital wall fractures - a technical note. J Craniomaxillofac Surg. 2018;46(7):1159–61.
pubmed: 29793778
doi: 10.1016/j.jcms.2018.05.007
Menzel CL, et al. Orbit in a Box: a simplified technique for patient-specific virtually planned Orbital Floor Reconstruction. J Craniofac Surg. 2020;31(4):1117–9.
pubmed: 31934963
doi: 10.1097/SCS.0000000000006158
Taxis J, et al. Thin PDS foils represent an equally favorable restorative material for Orbital Floor fractures compared to Titanium Meshes. Tomography. 2023;9(4):1515–25.
pubmed: 37624114
pmcid: 10458727
doi: 10.3390/tomography9040121
Patel S, et al. Controversies and Contemporary Management of Orbital Floor Fractures. Craniomaxillofac Trauma Reconstr. 2022;15(3):237–45.
pubmed: 36081678
doi: 10.1177/19433875211026430
Modabber A, et al. Aktuelle Entwicklungen in Der Chirurgischen Primär- Und Sekundärversorgung Von mittelgesichts- und periorbitalen Traumata. HNO. 2022;70(10):756–64.
pubmed: 36044058
doi: 10.1007/s00106-022-01226-1
Ramji HF, et al. Do Orbital Implants Differ in Complication Rates: a retrospective study of 88 patients, and an argument for cost-effective practices in the Face of Rising Health Care costs. Facial Plast Surg. 2022;38(3):293–9.
pubmed: 34965605
doi: 10.1055/s-0041-1741010
Hwang W, Kim JW. Reconstruction of extended orbital floor fracture using an implantation method of gamma-shaped porous polyethylene. Arch Craniofac Surg. 2019;20(3):164–9.
pubmed: 31256552
pmcid: 6615423
doi: 10.7181/acfs.2019.00304