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Published in: Journal of Maxillofacial and Oral Surgery 2/2010

01-06-2010 | Research Paper

Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction

Authors: Hari Ram, R. K. Singh, Shadab Mohammad, Anup Kumar Gupta

Published in: Journal of Maxillofacial and Oral Surgery | Issue 2/2010

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Abstract

Aim

The present study is to compare the effectiveness of iliac crest graft and medpor implant, for repairing traumatic orbital floor defects.

Materials and methods

A total of 20 patients were included in the study. Autogenous iliac crest graft and medpor implant was used in 10 patients of the each group. Patients were evaluated for the presence or absence of diplopia, enophthalmos, infraorbital nerve paresthesia, and ocular motility disorders. Surgical indications for orbital exploration included entrapment of orbital tissues, large orbital defect (greater than 50% of the orbital floor or more than 8 mm), or orbital floor defects with involvement of other zygomaticofrontal complex fractures.

Results

All patients were successfully treated by restoration of the orbital wall continuity. Follow-up was done at 1–12 weeks. One patient had postoperative infection. There was no graft extrusion.

Conclusions

Both the groups showed satisfactory results, but group II was better than group I, as there was no donor site morbidity. Porous polyethylene (Medpor) is a biocompatible and high-density polyethylene implant. It is well tolerated by surrounding tissue, and its porous structure is rapidly infiltrated by host tissue. It is a highly stable and somewhat flexible porous alloplast that has rapid tissue in growth into its pores.
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Metadata
Title
Efficacy of Iliac Crest vs. Medpor in Orbital Floor Reconstruction
Authors
Hari Ram
R. K. Singh
Shadab Mohammad
Anup Kumar Gupta
Publication date
01-06-2010
Publisher
Springer-Verlag
Published in
Journal of Maxillofacial and Oral Surgery / Issue 2/2010
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI
https://doi.org/10.1007/s12663-010-0047-2

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