Comparison between Metal Mesh and Iliac Bonegraft in the Reconstruction of Orbital Floor Fracture—A Clinical Study

Abstract

Background: After face trauma, orbital floor fractures are often experienced, leading to both functional and cosmetic deficits. There are several methods for reconstructing the orbital floor, such as iliac bone grafting and metal mesh. There are not many comparison studies available, nevertheless, to help surgeons choose the best method. Methods: Fifty patients with orbital floor fractures were enrolled in this prospective, randomized clinical investigation. They were randomly allocated to receive either an iliac bone transplant (n = 25) or metal mesh (n = 25). Over the course of six months, postoperative complications such as diplopia and enophthalmos were assessed regularly. A statistical study was conducted to compare the two groups’ results. Results: There was no discernible difference in postoperative complications between the two groups when it came to the reconstruction of orbital floor fractures using either metal mesh or iliac bone transplant. In contrast to the metal mesh group, the iliac bone graft group did, however, exhibit a somewhat decreased incidence of diplopia and enophthalmos. Conclusion: In conclusion, metal mesh and iliac bone graft are both reliable methods for reconstructing the orbital floor, and their rates of surgical complications are similar. However, there could be little benefit to iliac bone grafting in terms of lower rates of enophthalmos and diplopia. Based on the preferences of the surgeon and patient-specific criteria, the procedure should be selected individually.

Keywords

• clinical trial
• iliac bone transplant
• metal mesh
• orbital floor fracture
• reconstruction