Neha Umakant Chodankar, Vikas Dhupar, Francis Akkara, Vathsalya Vijay
{"title":"Matrixmidface 预成型眼眶植入物用于眼眶底部和内侧壁骨折的三维重建:前瞻性临床研究","authors":"Neha Umakant Chodankar, Vikas Dhupar, Francis Akkara, Vathsalya Vijay","doi":"10.1177/19433875231171749","DOIUrl":null,"url":null,"abstract":"<p><strong>Study design: </strong>Prospective Interventional study.</p><p><strong>Objective: </strong>To evaluate the efficiency of Matrixmidface preformed Orbital plates for three-dimensional reconstruction of orbital floor and medial wall fractures.</p><p><strong>Methods: </strong>This prospective institutional clinical study was conducted on a group of 14 patients who underwent repair of orbital floor and medial wall fracture defects using Matrixmidface Preformed Orbital plates and open reduction and internal fixation of associated fractures. The following parameters were studied preoperative and postoperative enophthalmos, hypoglobus, orbital volume; correction of diplopia, intraoperative and postoperative complications.</p><p><strong>Results: </strong>All 14 patients were males aged between 19 and 42 years. The most common mode of injury was found to be road traffic accidents (RTAs) followed by self-fall and trauma at workplace. Orbital fractures were associated with other concomitant maxillofacial fractures in 12 patients (85.7%) while 2 patients (14.3%) had pure blowout fractures. Significant improvement of enophthalmos was noted from preoperative period to 1 week, 6 weeks, and 6 months postoperatively (<b><i>P</i> value .02, .01, and .01,</b> respectively). Out of 11 patients with preoperative hypoglobus, 5 patients (45.45%) had persistent hypoglobus in the immediate postoperative period which reduced to 4 patients (36.36%) at 6 weeks postoperatively <b>(p value .00).</b> The postoperative orbital volume of fractured side ranged from 20.3 cm<sup>3</sup> to 26.76 cm<sup>3</sup> with a mean of 23.50 cm<sup>3</sup> ± 1.74. The mean difference between the volumes of the repaired and uninjured sides was found to be .27 cm<sup>3</sup> ± .39 (<b><i>P</i> value .02</b>) denoting that the reconstruction of the orbit closely approximated that of the uninjured side.</p><p><strong>Conclusions: </strong>The Matrixmidface Preformed Orbital plate provides exceptional reconstruction of the orbital blowout fracture defects and ensures satisfactory results clinically and radiographically. The plate ensures an approximate recreation of topographical anatomy of the orbit and adequately restores the orbital volume. It provides adequate correction of asymmetry, hypoglobus, enophthalmos and attempts to restore eye movements, without causing any significant postoperative complication.</p>","PeriodicalId":54864,"journal":{"name":"Journal of Communications and Networks","volume":"12 1","pages":"104-114"},"PeriodicalIF":2.9000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107816/pdf/","citationCount":"0","resultStr":"{\"title\":\"Matrixmidface Preformed Orbital Implants for Three-Dimensional Reconstruction of Orbital Floor and Medial Wall Fractures: A Prospective Clinical Study.\",\"authors\":\"Neha Umakant Chodankar, Vikas Dhupar, Francis Akkara, Vathsalya Vijay\",\"doi\":\"10.1177/19433875231171749\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Study design: </strong>Prospective Interventional study.</p><p><strong>Objective: </strong>To evaluate the efficiency of Matrixmidface preformed Orbital plates for three-dimensional reconstruction of orbital floor and medial wall fractures.</p><p><strong>Methods: </strong>This prospective institutional clinical study was conducted on a group of 14 patients who underwent repair of orbital floor and medial wall fracture defects using Matrixmidface Preformed Orbital plates and open reduction and internal fixation of associated fractures. The following parameters were studied preoperative and postoperative enophthalmos, hypoglobus, orbital volume; correction of diplopia, intraoperative and postoperative complications.</p><p><strong>Results: </strong>All 14 patients were males aged between 19 and 42 years. The most common mode of injury was found to be road traffic accidents (RTAs) followed by self-fall and trauma at workplace. Orbital fractures were associated with other concomitant maxillofacial fractures in 12 patients (85.7%) while 2 patients (14.3%) had pure blowout fractures. Significant improvement of enophthalmos was noted from preoperative period to 1 week, 6 weeks, and 6 months postoperatively (<b><i>P</i> value .02, .01, and .01,</b> respectively). Out of 11 patients with preoperative hypoglobus, 5 patients (45.45%) had persistent hypoglobus in the immediate postoperative period which reduced to 4 patients (36.36%) at 6 weeks postoperatively <b>(p value .00).</b> The postoperative orbital volume of fractured side ranged from 20.3 cm<sup>3</sup> to 26.76 cm<sup>3</sup> with a mean of 23.50 cm<sup>3</sup> ± 1.74. The mean difference between the volumes of the repaired and uninjured sides was found to be .27 cm<sup>3</sup> ± .39 (<b><i>P</i> value .02</b>) denoting that the reconstruction of the orbit closely approximated that of the uninjured side.</p><p><strong>Conclusions: </strong>The Matrixmidface Preformed Orbital plate provides exceptional reconstruction of the orbital blowout fracture defects and ensures satisfactory results clinically and radiographically. The plate ensures an approximate recreation of topographical anatomy of the orbit and adequately restores the orbital volume. It provides adequate correction of asymmetry, hypoglobus, enophthalmos and attempts to restore eye movements, without causing any significant postoperative complication.</p>\",\"PeriodicalId\":54864,\"journal\":{\"name\":\"Journal of Communications and Networks\",\"volume\":\"12 1\",\"pages\":\"104-114\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107816/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Communications and Networks\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/19433875231171749\",\"RegionNum\":3,\"RegionCategory\":\"计算机科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/4/20 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"COMPUTER SCIENCE, INFORMATION SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Communications and Networks","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/19433875231171749","RegionNum":3,"RegionCategory":"计算机科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/4/20 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
Matrixmidface Preformed Orbital Implants for Three-Dimensional Reconstruction of Orbital Floor and Medial Wall Fractures: A Prospective Clinical Study.
Study design: Prospective Interventional study.
Objective: To evaluate the efficiency of Matrixmidface preformed Orbital plates for three-dimensional reconstruction of orbital floor and medial wall fractures.
Methods: This prospective institutional clinical study was conducted on a group of 14 patients who underwent repair of orbital floor and medial wall fracture defects using Matrixmidface Preformed Orbital plates and open reduction and internal fixation of associated fractures. The following parameters were studied preoperative and postoperative enophthalmos, hypoglobus, orbital volume; correction of diplopia, intraoperative and postoperative complications.
Results: All 14 patients were males aged between 19 and 42 years. The most common mode of injury was found to be road traffic accidents (RTAs) followed by self-fall and trauma at workplace. Orbital fractures were associated with other concomitant maxillofacial fractures in 12 patients (85.7%) while 2 patients (14.3%) had pure blowout fractures. Significant improvement of enophthalmos was noted from preoperative period to 1 week, 6 weeks, and 6 months postoperatively (P value .02, .01, and .01, respectively). Out of 11 patients with preoperative hypoglobus, 5 patients (45.45%) had persistent hypoglobus in the immediate postoperative period which reduced to 4 patients (36.36%) at 6 weeks postoperatively (p value .00). The postoperative orbital volume of fractured side ranged from 20.3 cm3 to 26.76 cm3 with a mean of 23.50 cm3 ± 1.74. The mean difference between the volumes of the repaired and uninjured sides was found to be .27 cm3 ± .39 (P value .02) denoting that the reconstruction of the orbit closely approximated that of the uninjured side.
Conclusions: The Matrixmidface Preformed Orbital plate provides exceptional reconstruction of the orbital blowout fracture defects and ensures satisfactory results clinically and radiographically. The plate ensures an approximate recreation of topographical anatomy of the orbit and adequately restores the orbital volume. It provides adequate correction of asymmetry, hypoglobus, enophthalmos and attempts to restore eye movements, without causing any significant postoperative complication.
期刊介绍:
The JOURNAL OF COMMUNICATIONS AND NETWORKS is published six times per year, and is committed to publishing high-quality papers that advance the state-of-the-art and practical applications of communications and information networks. Theoretical research contributions presenting new techniques, concepts, or analyses, applied contributions reporting on experiences and experiments, and tutorial expositions of permanent reference value are welcome. The subjects covered by this journal include all topics in communication theory and techniques, communication systems, and information networks. COMMUNICATION THEORY AND SYSTEMS WIRELESS COMMUNICATIONS NETWORKS AND SERVICES.