A new option for the reconstruction of orbital floor defects with heterologous cortical bone

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dc.authoridFindikcioglu, Kemal/0000-0002-8276-5730
dc.contributor.authorOzel, Bora
dc.contributor.authorFindikcioglu, Kemal
dc.contributor.authorSezgin, Billur
dc.contributor.authorGuney, Kirdar
dc.contributor.authorBarut, Ismail
dc.contributor.authorOzmen, Selahattin
dc.date.accessioned2025-01-21T16:35:06Z
dc.date.available2025-01-21T16:35:06Z
dc.date.issued2015
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBackground: The orbital floor is one of the most frequently injured areas of the maxillofacial skeleton during facial trauma. A retrospective analysis of patients who have undergone treatment of orbital floor fractures with heterologous cortical bone is presented. Methods: This retrospective study was carried out with 21 patients over a period of 4 years between 2010 and 2014. All patients with a traumatic orbital floor defect who underwent reconstruction with heterologous cortical bone were included. The operations were carried out under general anesthesia for all patients. A subciliary incision was used in 20 patients and an infraorbital approach was used in one patient. All patients underwent follow-up examinations clinically as well as radiologically, at 1, 3, 6 and 12 months postoperatively. Computed tomographic scans were taken at the postoperative 6th month, and at the first postoperative year if needed. Results: Preoperatively, the physical examination revealed diplopia in 17 patients (80.9%), gaze restriction in 14 patients (66.6%), enophthalmos in six patients (28.5%), and infraorbital nerve paresthesia in two patients (9.5%). None of the patients showed impaired visual acuity preoperatively or postoperatively. Diplopia and gaze restriction resolved postoperatively in all of the patients. All patients had a negative intraoperative forced duction test demonstrating free globe movement. Enophthalmos showed complete resolution in the postoperative period. In one of the two patients with preoperative infraorbital nerve paresthesia, this resolved at the postoperative fifth month. Scleral show appeared in six patients but resolved completely within 3-8 weeks with massage. There was no graft extrusion, resorption or displacement during the follow-up period. Conclusions: Tecnoss Semi Soft Lamina is a good alternative for the reconstruction of blowout fractures due to its plasticity and biocompatible structure. Without donor site morbidity, it is a safe and appropriate heterologous bone graft material for maxillofacial applications such as orbital floor reconstruction. We cannot recommend its use for near-total, wide orbital floor defects as it may not provide enough support in such circumstances. (C) 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
dc.identifier.doi10.1016/j.jcms.2015.06.029
dc.identifier.endpage1588
dc.identifier.issn1010-5182
dc.identifier.issn1878-4119
dc.identifier.issue8
dc.identifier.pmid26228594
dc.identifier.startpage1583
dc.identifier.urihttps://doi.org/10.1016/j.jcms.2015.06.029
dc.identifier.urihttps://hdl.handle.net/20.500.12587/24078
dc.identifier.volume43
dc.identifier.wosWOS:000362604000041
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherChurchill Livingstone
dc.relation.ispartofJournal of Cranio-Maxillofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectBlowout fracture; Heterologous cortical bone; Lamina; Orbital floor
dc.titleA new option for the reconstruction of orbital floor defects with heterologous cortical bone
dc.typeArticle

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