Smooth nylon foil (SupraFOIL) orbital implants in orbital fractures: A case series of 181 patients

D. J John Park, Daniel C. Garibaldi, Nicholas T. Iliff, Michael Grant, Shannath L Merbs

Research output: Contribution to journalArticle

Abstract

PURPOSE: The SupraFOIL smooth nylon foil implant is a polyamide sheet available in varying thicknesses that has been used in orbital reconstruction following trauma. The authors report their experience with smooth nylon foil implants in the repair of orbital fractures. METHODS: A retrospective chart review of patients having undergone repair of orbital fractures between January 1, 1995 and December 31, 2003 was conducted. The Wilcoxon test was used to compare cases with complications and those with no complications. RESULTS: Of 282 orbits that underwent fracture repair with alloplastic material, 87 were excluded because non-nylon foil implants were used alone or in combination with nylon foil to repair the orbital fracture. An additional 14 fractures were excluded because of insufficient clinical data or lack of follow-up, for a total of 181 orbits that underwent orbital fracture repair with only nylon foil. A transconjunctival approach was used in 98% cases, and all 181 implants were fixated with at least 1 titanium screw. Average follow-up was 362.8 days. The overall complication rate was 1.7%. One patient had an acute postoperative orbital hemorrhage (0.6% acute complication rate). Two patients had late orbital infections, 683 days and 984 days following repair (1.1% late complication rate). CONCLUSIONS: The authors found the smooth nylon foil implant to be safe and effective in orbital fracture repair. The lower rate of complications the authors observed compared with previously reported series may be related to implant fixation. A titanium screw secured just posterior to the orbital rim may decrease long-term complications by providing more stability than implants left without fixation.

Original languageEnglish (US)
Pages (from-to)266-270
Number of pages5
JournalOphthalmic Plastic and Reconstructive Surgery
Volume24
Issue number4
DOIs
StatePublished - Jul 2008

Fingerprint

Orbital Implants
Orbital Fractures
Nylons
Orbit
Titanium
Postoperative Hemorrhage
Wounds and Injuries
Infection

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Smooth nylon foil (SupraFOIL) orbital implants in orbital fractures : A case series of 181 patients. / Park, D. J John; Garibaldi, Daniel C.; Iliff, Nicholas T.; Grant, Michael; Merbs, Shannath L.

In: Ophthalmic Plastic and Reconstructive Surgery, Vol. 24, No. 4, 07.2008, p. 266-270.

Research output: Contribution to journalArticle

@article{e755dc4a21564961b8fef9c7cfd4b1ea,
title = "Smooth nylon foil (SupraFOIL) orbital implants in orbital fractures: A case series of 181 patients",
abstract = "PURPOSE: The SupraFOIL smooth nylon foil implant is a polyamide sheet available in varying thicknesses that has been used in orbital reconstruction following trauma. The authors report their experience with smooth nylon foil implants in the repair of orbital fractures. METHODS: A retrospective chart review of patients having undergone repair of orbital fractures between January 1, 1995 and December 31, 2003 was conducted. The Wilcoxon test was used to compare cases with complications and those with no complications. RESULTS: Of 282 orbits that underwent fracture repair with alloplastic material, 87 were excluded because non-nylon foil implants were used alone or in combination with nylon foil to repair the orbital fracture. An additional 14 fractures were excluded because of insufficient clinical data or lack of follow-up, for a total of 181 orbits that underwent orbital fracture repair with only nylon foil. A transconjunctival approach was used in 98{\%} cases, and all 181 implants were fixated with at least 1 titanium screw. Average follow-up was 362.8 days. The overall complication rate was 1.7{\%}. One patient had an acute postoperative orbital hemorrhage (0.6{\%} acute complication rate). Two patients had late orbital infections, 683 days and 984 days following repair (1.1{\%} late complication rate). CONCLUSIONS: The authors found the smooth nylon foil implant to be safe and effective in orbital fracture repair. The lower rate of complications the authors observed compared with previously reported series may be related to implant fixation. A titanium screw secured just posterior to the orbital rim may decrease long-term complications by providing more stability than implants left without fixation.",
author = "Park, {D. J John} and Garibaldi, {Daniel C.} and Iliff, {Nicholas T.} and Michael Grant and Merbs, {Shannath L}",
year = "2008",
month = "7",
doi = "10.1097/IOP.0b013e31817e0fe0",
language = "English (US)",
volume = "24",
pages = "266--270",
journal = "Ophthalmic Plastic and Reconstructive Surgery",
issn = "0740-9303",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Smooth nylon foil (SupraFOIL) orbital implants in orbital fractures

T2 - A case series of 181 patients

AU - Park, D. J John

AU - Garibaldi, Daniel C.

AU - Iliff, Nicholas T.

AU - Grant, Michael

AU - Merbs, Shannath L

PY - 2008/7

Y1 - 2008/7

N2 - PURPOSE: The SupraFOIL smooth nylon foil implant is a polyamide sheet available in varying thicknesses that has been used in orbital reconstruction following trauma. The authors report their experience with smooth nylon foil implants in the repair of orbital fractures. METHODS: A retrospective chart review of patients having undergone repair of orbital fractures between January 1, 1995 and December 31, 2003 was conducted. The Wilcoxon test was used to compare cases with complications and those with no complications. RESULTS: Of 282 orbits that underwent fracture repair with alloplastic material, 87 were excluded because non-nylon foil implants were used alone or in combination with nylon foil to repair the orbital fracture. An additional 14 fractures were excluded because of insufficient clinical data or lack of follow-up, for a total of 181 orbits that underwent orbital fracture repair with only nylon foil. A transconjunctival approach was used in 98% cases, and all 181 implants were fixated with at least 1 titanium screw. Average follow-up was 362.8 days. The overall complication rate was 1.7%. One patient had an acute postoperative orbital hemorrhage (0.6% acute complication rate). Two patients had late orbital infections, 683 days and 984 days following repair (1.1% late complication rate). CONCLUSIONS: The authors found the smooth nylon foil implant to be safe and effective in orbital fracture repair. The lower rate of complications the authors observed compared with previously reported series may be related to implant fixation. A titanium screw secured just posterior to the orbital rim may decrease long-term complications by providing more stability than implants left without fixation.

AB - PURPOSE: The SupraFOIL smooth nylon foil implant is a polyamide sheet available in varying thicknesses that has been used in orbital reconstruction following trauma. The authors report their experience with smooth nylon foil implants in the repair of orbital fractures. METHODS: A retrospective chart review of patients having undergone repair of orbital fractures between January 1, 1995 and December 31, 2003 was conducted. The Wilcoxon test was used to compare cases with complications and those with no complications. RESULTS: Of 282 orbits that underwent fracture repair with alloplastic material, 87 were excluded because non-nylon foil implants were used alone or in combination with nylon foil to repair the orbital fracture. An additional 14 fractures were excluded because of insufficient clinical data or lack of follow-up, for a total of 181 orbits that underwent orbital fracture repair with only nylon foil. A transconjunctival approach was used in 98% cases, and all 181 implants were fixated with at least 1 titanium screw. Average follow-up was 362.8 days. The overall complication rate was 1.7%. One patient had an acute postoperative orbital hemorrhage (0.6% acute complication rate). Two patients had late orbital infections, 683 days and 984 days following repair (1.1% late complication rate). CONCLUSIONS: The authors found the smooth nylon foil implant to be safe and effective in orbital fracture repair. The lower rate of complications the authors observed compared with previously reported series may be related to implant fixation. A titanium screw secured just posterior to the orbital rim may decrease long-term complications by providing more stability than implants left without fixation.

UR - http://www.scopus.com/inward/record.url?scp=48849086948&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48849086948&partnerID=8YFLogxK

U2 - 10.1097/IOP.0b013e31817e0fe0

DO - 10.1097/IOP.0b013e31817e0fe0

M3 - Article

C2 - 18645428

AN - SCOPUS:48849086948

VL - 24

SP - 266

EP - 270

JO - Ophthalmic Plastic and Reconstructive Surgery

JF - Ophthalmic Plastic and Reconstructive Surgery

SN - 0740-9303

IS - 4

ER -