A use of poly-L-lactide, D-lactide sheet on posterior orbital floor fracture.
We present the cases of orbital posterior wall fractures that were fixed with poly-l-lactide, D-lactide (PLDLA) sheets. Poly-L-lactide, D-lactide sheet (0.5-mm thickness) was shaped exactly to fit to the area of orbital floor, and then an extended 1 cm was bent across on the infraorbital rim. That part was fixed with 2 absorbable screws to prevent the sheet from crumpling. Orbital floor fractures of 6 patients (3 posterior-one-half defects and 3 posterior-two-thirds defects) were repaired using PLDLA sheets. Diplopia in 5 patients before surgery was improved, usually within 6 months postoperatively. Clinical enophthalmos was not appreciated in any patient. However, preoperative exophthalmometry measured -1.3 +/- 0.3 mm and postoperatively -0.4 +/- 0.2 mm, respectively. Poly-l-lactide, d-lactide sheet is applicable to safely repair the orbital posterior floor fracture.
Hwang
Kun
K
Department of Plastic Surgery and Center for Advanced Medical Education by BK21 Project, Inha University School of Medicine, 7-206 Sinheung-dong, Jung-gu, Incheon 400-711, Korea. jokerhg@inha.ac.kr
Kim
Dong Hyun
DH
Park
In Sun
IS
D020341:Absorbable Implants; D000328:Adult; D001863:Bone Screws; D004146:Dioxanes / Q000627:therapeutic use*; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008297:Male; D009917:Orbital Fractures / Q000601:surgery*; D011091:Polyesters / Q000627:therapeutic use*; D016896:Treatment Outcome
D004146:Dioxanes; D011091:Polyesters; C033616:poly(lactide); C091880:dilactide