Abstract:
Objective
To explore the clinical efficacy of reconstruction of orbital floor defect through coronal scalp approach or conjunctivas approach by using titanium mesh.
Methods
According to CT scans and three-dimensional imaging diagnosis， reconstructions of orbital floor defect were performed on 18 patients using titanium mesh. 10 cases of orbital floor defection complicated with adjacent craniofacial fractures， the patients were operated through coronary incision in the hairline scalp， while 8 cases of old orbital floor fractures were treated through eyelid conjunctiva incision.
Results
Enophthalmos were corrected in all 18 cases， so did some patients accompanied with zygomatic fractures. All incisions were covert and healed well without obvious scar， and facial deformity has been obviously improved. All patients were followed up for 3 to 24 months. An acceptable clinical efficacy was obtained， and titanium mesh loosening or other complications were not observed.
Conclusions
Coronal scalp or conjunctivas incision can provide adequate operating space for surgeons.Orbital floor fracture could be reconstructed by using titanium mesh， which resulted in a better aesthetic effect.
Key words:
Orbital floor defect,
Titanium mesh,
Coronal scalp approach,
Transconjunctival approach
Mingyang Su, Lamei Wu, Hongyu Yang, Huijun Yang, Pingping Ma, Feng Wang, Shiyue Shen, Shanshan Zhang. The application of titanium mesh in the repair of orbital floor defection[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2014, 8(02): 123-127.