2015, Number 2
Cir Plast 2015; 25 (2)
Malagón-Hidalgo HO, González-Magaña F, Ayala-Ugalde F, García-Cano E, Vilchis-López R
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ABSTRACTThe goals of the treatment of orbital fractures include reducing orbital tissue, repair of the defect and restitution of the volume. Multiple materials have been described to meet these goals without any series report with the use of absorbable materials in Mexico. A study was performed at the Medical Center ISSEMyM in the State of Mexico that included all the patients with a diagnosis of orbital fracture, reconstructed with absorbable implant l-polylactic and polyglycolic acid, were included. 83 fractures in 57 patients were reported. The complications presented were enophthalmos in 5 (8.7%) and muscle entrapment in 1 (1.8%). Only two patients were reoperated. The absorbable material has advantages to restore continuity of the orbital floor, unlimited availability, reduction of the time devoted to surgery, avoidance of donor site morbidity and late complications. In our study, no cases of diplopia occurred, compared to studies with the use of septal cartilage, PDS, titanium mesh, polyethylene and osteochondral graft with a range of 2-50% reported. The use of an absorbable implant for orbital floor fractures under 2 cm2 is feasible and successful, with a minimal risk of enophthalmos, diplopia and complications.