title: Orbital wall reconstruction with titanium mesh: retrospective study of 24 patients.
abstract: The aim of this study was to evaluate the efficacy and safety of traumatic orbital defect reconstruction with titanium mesh. A retrospective study was made. Evaluations were made after a minimum postoperative follow-up of 12 months, looking for the main complications. Twenty-four patients were included in this evaluation; 19 were male (79.1%) and 5 (20.8%) were female. The main injury etiology was vehicle accidents (50%) followed by other causes. Fourteen patients (58.3%) presented orbital floor fractures, and 10 had more than one wall fractured (41.6%). Permanent infraorbital nerve hypoesthesia was observed in two patients (8.3%), enophthalmos occurred in five patients (20.8%), and exophthalmos was found in two patients (8.3%). Four patients (16.6%) still presented evidence of residual prolapsed intraorbital content, and one of those needed further surgical correction; sinusitis occurred in one patient (4.1%). Titanium mesh is a reliable option for orbital reconstruction, despite some complications found in this sample.
authors.forename: Mario Francisco
authors.initials: MF
authors.lastname: Gabrielli
authors.forename: Marcelo Silva
authors.initials: MS
authors.lastname: Monnazzi
authors.forename: Luis Augusto
authors.initials: LA
authors.lastname: Passeri
authors.forename: Waldner Ricardo
authors.initials: WR
authors.lastname: Carvalho
authors.forename: Marisa
authors.initials: M
authors.lastname: Gabrielli
authors.forename: Eduardo
authors.initials: E
authors.lastname: Hochuli-Vieira