EVALUATION OF THE USE OF TITANIUM MESH IN THE RECONSTRUCTION OF ORBITAL FLOOR DEFECTS

Document Type : Original Article

Authors

1 Oral and maxillofacial surgery, Faculty of Dentistry, Alexandria University

2 Oral and Maxillofacial surgery department, Faculty of Dentistry, Alexandria University, Egypt

Abstract

Background: Orbital floor fracture is one of the most common maxillofacial fractures. Hence, many clinical methods were implemented to improve the used techniques.
Objective: To evaluate the clinical performance and the accuracy of orbital volume correction in the reconstruction of a traumatic orbital defect with titanium mesh.
Materials and Methods: A group of 10 patients who suffered from recent fractures in the floor of the orbit participated in this study. All patients underwent orbital floor reconstruction using titanium mesh implants. Clinical Postoperative evaluation was conducted. Additionally, radiographic investigations were employed to evaluate the accuracy of orbital volume correction
Results: The study was conducted on ten patients with orbital zygomatic complex fractures.None of the patients developed ectropion, entropion, enophthalmos, ocular motility impairments, wound infections, or dehiscence. A highly statistically significant change in the sensation throughout the distribution of the infraorbital nerve was conducted (p < 0.001). the comparison of the orbital volume measurements of the preoperatively affected and unaffected side revealed a statistically significant difference (P < 0.001). Conversely, the comparison of the measurements of the postoperative side to the unaffected side did not reveal a significant difference (P = 0.211). The postoperative records showed a 5.09% reduction in orbital volume compared to the preoperative values, which was statistically significant (P = 0.003).
Conclusion: Comparing orbital volume measurements is a valuable method for quantitatively assessing the success of managing (OZC) fractures. Moreover, titanium mesh has proven to be an effective and safe material for reconstructing orbital floor defects with minimal postoperative complications.

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Alexandria Dental Journal
Volume 50, Issue 2
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
August 2025
Pages 107-115

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