PMID- 23147315
OWN - NLM
STAT- MEDLINE
DCOM- 20140109
LR  - 20221207
IS  - 1536-3732 (Electronic)
IS  - 1049-2275 (Linking)
VI  - 23
IP  - 6
DP  - 2012 Nov
TI  - Late correction of orbital-zygomatic-maxillary fractures combined with orbital 
      wall fractures.
PG  - 1672-6
LID - 10.1097/SCS.0b013e318266f963 [doi]
AB  - PURPOSE: With the increasing number of patients with facial trauma, 
      orbital-zygomatic-maxillary (OZM) fracture combined with orbital wall fracture 
      has become common. Such fractures always induce symptoms of enophthalmos, 
      hypoglobus, and diplopia. This study was aimed to investigate the surgical 
      technique and operative effect of late reconstruction of OZM fractures combined 
      with orbital wall fractures. METHODS: A retrospective analysis of the 46 patients 
      (46 orbits) who were treated from January 2005 to December 2008 was performed. 
      All cases had reconstruction of OZM fractures combined with orbital wall 
      fractures at an average of 5.3 months after injury. Various incisions were 
      selected. According to the computer-aided design/computer-aided manufacturing 
      design, the osteotomy, reposition, and 4-point fixation of the fractured bones 
      were individualized performed. Titanium mesh was preshaped according to the 
      mirroring technology and inserted into the orbit with or without high-density 
      polyethylene (HDPE) implant material to repair the orbital wall defect and the 
      enlarged orbital volume. All patients were followed up 1 year after surgery. 
      RESULTS: Forty-two of the 46 patients who had enophthalmos were completely 
      corrected. Forty patients who had hypoglobus were corrected postoperatively. Of 
      the 43 cases with diplopia, 20 cases were resolved. CONCLUSIONS: Late 
      reconstruction by osteotomy and 4-point fixation could recover midface cosmesis, 
      correct the enophthalmos, and improve the diplopia of OZM fractures combined with 
      orbital wall fractures. The computer-aided design/computer-aided manufacturing 
      system and mirroring technology can help improve the outcome of surgery when 
      repairing such fractures.
FAU - Lu, Wenjuan
AU  - Lu W
AD  - Department of Ophthalmology, Ninth People's Hospital, Shanghai Jiao Tong 
      University School of Medicine, Shanghai, People's Republic of China.
FAU - Zhou, Huifang
AU  - Zhou H
FAU - Xiao, Caiwen
AU  - Xiao C
FAU - Shen, Qin
AU  - Shen Q
FAU - Lin, Ming
AU  - Lin M
FAU - Fan, Xianqun
AU  - Fan X
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Craniofac Surg
JT  - The Journal of craniofacial surgery
JID - 9010410
RN  - D1JT611TNE (Titanium)
MH  - Adolescent
MH  - Adult
MH  - Computer-Aided Design
MH  - Diplopia/etiology
MH  - Enophthalmos/etiology
MH  - Female
MH  - Fracture Fixation, Internal/*methods
MH  - Humans
MH  - Male
MH  - Maxillary Fractures/complications/diagnostic imaging/*surgery
MH  - Middle Aged
MH  - Orbital Fractures/complications/diagnostic imaging/*surgery
MH  - Osteotomy
MH  - Plastic Surgery Procedures/*methods
MH  - Retrospective Studies
MH  - Surgical Mesh
MH  - Titanium
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
MH  - Zygomatic Fractures/complications/diagnostic imaging/*surgery
EDAT- 2012/11/14 06:00
MHDA- 2014/01/10 06:00
CRDT- 2012/11/14 06:00
PHST- 2012/11/14 06:00 [entrez]
PHST- 2012/11/14 06:00 [pubmed]
PHST- 2014/01/10 06:00 [medline]
AID - 10.1097/SCS.0b013e318266f963 [doi]
PST - ppublish
SO  - J Craniofac Surg. 2012 Nov;23(6):1672-6. doi: 10.1097/SCS.0b013e318266f963.