Reconstruction of the orbital floor with a new perforated 0.15-mm PDS foil compared to the proven titanium dynamic mesh: a prospective randomized study

被引：14

作者：

Dacho, A ^{[1
]}

Steffen, H ^{[1
]}

Ziegler, CM ^{[1
]}

Conradt, C ^{[1
]}

Dietz, A ^{[1
]}

机构：

[1] Univ Heidelberg, HNO Klin, D-69120 Heidelberg, Germany

来源：

HNO | 2002年 / 50卷 / 01期

关键词：

blow-out fracture; implants; en-/exophthalmos; diplopia; PDS;

D O I：

10.1007/s106-002-8061-8

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Introduction. For surgical reconstruction of the orbital floor after blow-out fractures, a new perforated PDS (poly-p-dioxanon) foil (0.15 mm thickness) has recently become available. The main target of this prospective and randomized interdisciplinary clinical study was to compare this new PDS foil with the proven titanium dynamic mesh (0.3 mm thickness). Patients/Methods. Aside from the common diagnostic procedures, an extensive ophthalmologic examination was performed and documented preoperatively (U1),4 days (U3), 1 month (U4), and 6 months (U5) postoperatively. Results. In both groups the surgical procedure was tolerated well,The new perforated PDS foil turned out to be easier to handle intraoperatively because of smooth and clean cutting edges. The surgical treatment was well tolerated in all randomized groups. In contrast to the control group,the PDS and TD groups showed postoperatively a slight increase of the preoperative exophthalmos (mean 0.5 mm). Conclusion. The new perforated PDS foil is comparable concerning cosmetic and functional aspects. Especially with regard to stability after blow-out fractures,the new perforated PDS foil is equal to titanium dynamic mesh up to 20 mm in diameter. PDS foil is felt to be superior regarding bio-resorption and due to the more convenient handling.

引用

页码：21 / +

页数：7