ORBITAL FLOOR RECONSTRUCTION WITH TITANIUM MESH;

Our experience

Abstract

Objective: To determine the outcome of orbital floor reconstruction with titanium
mesh in terms of diplopia, enophthalmos, dystopia and infection etc. Study design: Descriptive
case series. Place & duration of study: Department of Oral & Maxillofacial Surgery, Punjab
Medical College / Allied Hospital Faisalabad. One and Half year from 01-10-12 to 31-03-14.
Material and Method: Twenty two patients clinically and radiographically having defect in the
orbital floor due to trauma were included in the study. Titanium mesh was used to reconstruct the
orbital floor through infraorbital rim incision and secured in place with 5mm micro screws. The
variables to be analyzed were diplopia, enophthalmos, orbital dystopia and infection. Results: In
our study male gender predominates over female 20/22. Mean age of patients is 29.36 years ±
5.21. Diplopia persisted in 2/10 (20%) patients. Enophthalmos persisted in 7/18 (38.8%) patients.
dystopia persisted in ¼ (25%) patients. Infection didn’t develop in any of our patient (0%). Visual
acuity was not affected in any of the patient (0%). Conclusions: Titanium mesh is a suitable
material for reconstruction of orbital floor fractures with little complication rate and no donor site
morbidity.