Archives of Plastic Surgery (Sep 2019)

A novel technique for placing titanium mesh with porous polyethylene via the endoscopic transnasal approach into the orbit for medial orbital wall fractures

  • Seong Hwan Bae,
  • Dae Kyun Jeong,
  • Ju Young Go,
  • Heeseung Park,
  • Joo Hyoung Kim,
  • Jae Woo Lee,
  • Taewoo Kang

DOI
https://doi.org/10.5999/aps.2019.00703
Journal volume & issue
Vol. 46, no. 05
pp. 421 – 425

Abstract

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Background The endoscopic transnasal approach is widely used for reconstructing the medial orbital wall by filling it with a silicone sheet or Merocel, but this technique has the disadvantage of retaining the packing for a long time. To overcome this drawback, a method of positioning an absorbable plate in the orbit has been introduced, but there is a risk of defect recurrence after the plate is absorbed. Here, the authors report the results of a novel surgical technique of placing a nonabsorbable titanium mesh with porous polyethylene into the orbit through the endoscopic transnasal approach.

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