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Comparison of the Outcomes of Blowout Fracture Repair According to the Orbital Implant

Han, Dae Heon MD; Chi, Mijung MD, PhD

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1422-1425
doi: 10.1097/SCS.0b013e31821cc2b5
Clinical Studies
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Purpose: The clinical outcomes of blowout fracture repair classified by 2 types of orbital implants (Macropore and Medpor) were compared.

Procedures: The medical records of 331 patients with orbital fractures that were treated surgically by 1 surgeon at Gachon University Gil hospital, from March 2007 to March 2009, were reviewed. Patients who had diplopia or limited extraocular motion, significant enophthalmos (>2 mm), or a large fracture on a computed tomographic scan (>50% of the floor area) were enrolled. The clinical outcomes were compared between patients who received surgical repair using Macropore and those who had surgical repair using Medpor.

Results: One hundred six patients had surgical repair using Macropore and 225 patients were surgically treated with Medpor. Both the Macropore (n = 106) and the Medpor groups (n = 225) showed significant clinical improvement. The degree of preoperative/postoperative diplopia and limited extraocular motion was not different between the 2 groups. In addition, there was no difference in the preoperative/postoperative enophthalmos between the 2 groups.

Conclusions: Both Macropore and Medpor were associated with equally safe and satisfactory patient outcomes without notable complications.

From the Department of Ophthalmology, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea.

Received November 2, 2010.

Accepted for publication January 29, 2011.

Address correspondence and reprint requests to Mi Jung Chi, MD, PhD, Department of Ophthalmology, Gachon University of Medicine and Science, #1198, Guwol-dong, Namdong-gu, Incheon, 405-760, Korea; E-mail: cmj@gilhospital.com

Supported in part by a grant from Gachon University of Medicine and Science, Gil Hospital.

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD