Intracapsular hemorrhage rates in non-fixated nylon sheet orbital implants for orbital fracture management

Mark A. Prendes, Brett Gudgel, Enoch B. Kassa, Amelia M. Todd, Roxana Fu, Michelle Abou-Jaoude, Peter J. Timoney, Taha Z. Shipchandler, William R. Nunery, H. B.Harold Lee

Research output: Contribution to journalArticle

Abstract

Purpose: To examine the incidence of intracapsular hemorrhage in orbital fracture repair with non-fixated nylon sheet implants. Methods: A retrospective chart review of 227 patients presenting from January 2013 to December 2016 for orbital fracture repair with nylon sheet implants. Results: Of the 331 orbital fractures repaired over 4 years, a total of 227 met inclusion criteria. The average implant thickness was 0.38 mm and no implants were fixated. Four total implants (1.8%) were removed due to complications; one each secondary to exploration for ongoing postoperative diplopia, immediate post-operative orbital hemorrhage, a cystic mass anterior to the implant, and pain. There were no cases of intracapsular hemorrhage nor infection for any of the 227 patients over 4 years. Conclusions: To the authors knowledge, this represents the largest case series to date to assess the rate of intracapsular hemorrhage in non-fixated nylon sheet orbital implants. In the 227 cases reviewed over a 4-year period, there were no cases of intracapsular hemorrhage. This suggests a much lower complication rate than previously reported. Précis: A case series of 227 patients who underwent orbital fracture repair with non-fixated nylon sheet implants.

Original languageEnglish (US)
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Orbital Implants
Orbital Fractures
Nylons
Hemorrhage
Diplopia
Pain
Incidence
Infection

Keywords

  • Intracapsular hemorrhage
  • Nylon orbital implant
  • Nylon sheet
  • Orbital fracture repair
  • Suprafoil
  • Supramid

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Intracapsular hemorrhage rates in non-fixated nylon sheet orbital implants for orbital fracture management. / Prendes, Mark A.; Gudgel, Brett; Kassa, Enoch B.; Todd, Amelia M.; Fu, Roxana; Abou-Jaoude, Michelle; Timoney, Peter J.; Shipchandler, Taha Z.; Nunery, William R.; Lee, H. B.Harold.

In: American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 01.01.2019.

Research output: Contribution to journalArticle

Prendes, Mark A. ; Gudgel, Brett ; Kassa, Enoch B. ; Todd, Amelia M. ; Fu, Roxana ; Abou-Jaoude, Michelle ; Timoney, Peter J. ; Shipchandler, Taha Z. ; Nunery, William R. ; Lee, H. B.Harold. / Intracapsular hemorrhage rates in non-fixated nylon sheet orbital implants for orbital fracture management. In: American Journal of Otolaryngology - Head and Neck Medicine and Surgery. 2019.
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abstract = "Purpose: To examine the incidence of intracapsular hemorrhage in orbital fracture repair with non-fixated nylon sheet implants. Methods: A retrospective chart review of 227 patients presenting from January 2013 to December 2016 for orbital fracture repair with nylon sheet implants. Results: Of the 331 orbital fractures repaired over 4 years, a total of 227 met inclusion criteria. The average implant thickness was 0.38 mm and no implants were fixated. Four total implants (1.8{\%}) were removed due to complications; one each secondary to exploration for ongoing postoperative diplopia, immediate post-operative orbital hemorrhage, a cystic mass anterior to the implant, and pain. There were no cases of intracapsular hemorrhage nor infection for any of the 227 patients over 4 years. Conclusions: To the authors knowledge, this represents the largest case series to date to assess the rate of intracapsular hemorrhage in non-fixated nylon sheet orbital implants. In the 227 cases reviewed over a 4-year period, there were no cases of intracapsular hemorrhage. This suggests a much lower complication rate than previously reported. Pr{\'e}cis: A case series of 227 patients who underwent orbital fracture repair with non-fixated nylon sheet implants.",
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AU - Fu, Roxana

AU - Abou-Jaoude, Michelle

AU - Timoney, Peter J.

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