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Clinical Oral Investigations

Published in:

01-03-2013 | Original Article

Medial orbital wall reconstruction with flexible Ethisorb® patches

Authors: P. Pohlenz, W. Adler, L. Li, R. Schmelzle, J. Klatt

Published in: Clinical Oral Investigations | Issue 2/2013

Abstract

Objectives

The aim of this study was to analyse the long-term result after reconstruction of the medial orbital wall with a flexible, biodegradable material (Ethisorb®).

Materials and methods

During a period of almost 8 years, 31 patients with a medial orbital wall fracture were analysed retrospectively. Inclusion criteria were patients with a maximum size fracture of the orbital medial wall measuring 1.5–2 cm². Exophthalmos, enophthalmos, bulbus motility, diplopia and skin sensation were investigated over a period of 6 months. In all patients, the medial orbital wall was reconstructed with Ethisorb® patches.

Results

No significant intraoperative complications were detected. No postoperative infection, abscess or seroma was found in any of the patients receiving an Ethisorb® patch.

Conclusions

The advantage of the semiflexibility of the Ethisorb® patch is that it supplies an anatomically correct fit to the orbital medial wall but does not require fixation by screws or the use of sutures.

Clinical relevance

The low rate of reported bulbus motility disturbance, diplopia, exophthalmos and enophthalmos demonstrates acceptable results after medial orbital wall reconstruction using the Ethisorb® patch.

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Title: Medial orbital wall reconstruction with flexible Ethisorb® patches
Authors: P. Pohlenz
W. Adler
L. Li
R. Schmelzle
J. Klatt
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue 2/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-012-0716-2

At a glance: The STEP trials

Springer Medicine

Medial orbital wall reconstruction with flexible Ethisorb® patches

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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