TY - JOUR
T1 - Rigid fixation of internal orbital fractures
AU - Glassman, R. Dean
AU - Manson, Paul N.
AU - Vanderkolk, Craig A.
AU - Iliff, Nicholas T.
AU - Yaremchuk, Michael J.
AU - Petty, Paul
AU - Dufresne, Craig R.
AU - Markowitz, Bernard L.
PY - 1990/12
Y1 - 1990/12
N2 - When large portions of the internal orbit are destroyed (two to four walls), standard bone-grafting techniques for immediate and late orbital reconstruction may not yield predictable eye position. Critical bone support is most often deficient inferomedially. CT analysis of orbital volume in cases where eye position was unsatisfactory reveals that displacement of bone grafts is one mechanism of the unsatisfactory result. Other mechanisms include undercorrection and bone-graft resorption. In order to minimize postoperative bone-graft displacement, titanium implants were used to span large defects in the internal orbit to provide a platform for bone-graft support. Twenty-six implants were placed in immediate and 12 were placed in late orbital reconstructions. More reliable bone-graft position resulted. Two late infections have occurred resulting in implant removal in a 3-year period.
AB - When large portions of the internal orbit are destroyed (two to four walls), standard bone-grafting techniques for immediate and late orbital reconstruction may not yield predictable eye position. Critical bone support is most often deficient inferomedially. CT analysis of orbital volume in cases where eye position was unsatisfactory reveals that displacement of bone grafts is one mechanism of the unsatisfactory result. Other mechanisms include undercorrection and bone-graft resorption. In order to minimize postoperative bone-graft displacement, titanium implants were used to span large defects in the internal orbit to provide a platform for bone-graft support. Twenty-six implants were placed in immediate and 12 were placed in late orbital reconstructions. More reliable bone-graft position resulted. Two late infections have occurred resulting in implant removal in a 3-year period.
UR - http://www.scopus.com/inward/record.url?scp=0025640873&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0025640873&partnerID=8YFLogxK
U2 - 10.1097/00006534-199012000-00009
DO - 10.1097/00006534-199012000-00009
M3 - Article
C2 - 2243852
AN - SCOPUS:0025640873
SN - 0032-1052
VL - 86
SP - 1103
EP - 1109
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 6
ER -