الفهرس 
CONCLUSION AND RECOMMENDATIONOnly 14 pages are availabe for public view
 |  | from | 137 |  |  |
| | | from | 137 | | |
Abstract
In this study we evaluated clinically and radiographically the use of Proceed® mesh in reconstruction of orbital floor fractures. The evaluation was based on the comparison between preoperative and postoperative diplopia, enophthalamos, dystopia and restriction in ocular motility.
Seven patients with orbital floor fractures indicated for surgical intervention were included in this study. Preoperative clinical and radiographical examinations were performed for each patient. Clinical examination included ophthalmologic examination of any indication for urgent intervention such as monocular diplopia and retrobulbar haemorrhage. Examination of diplopia, enophthalamous, ocular dystopia and restriction of ocular motility were performed. The patients were also examined for any associated facial injuries.
Radiographically, all patients underwent CT examination preoperatively to detect the fracture size and herniation of soft tissue. Postoperative radiographs, immediate and after 6 months, were performed to ensure proper reduction and to detect bone formation.
All orbital floor defects were reconstructed by Proceed® mesh. An infraorbital approach was performed to expose the infraorbital rim and explore orbital floor.
Forced duction test was performed before orbital exploration to ensure restriction and after herniated tissue were released to ensure proper ocular motility.
The Proceed® mesh was cut and trimmed to a suitable size and shape to fit the orbital defect. Placement of the mesh was as follows: The ORC side of Proceed® mesh was placed facing orbital soft tissue to reduce adhesion, while the Prolene® soft mesh side was placed facing the bone. After a good adaptation of the mesh in place the wound was closed in layers.