title: Association of Titanium Mesh and Bovine Pericardium Membrane in the Treatment of Severe Enophthalmos.
abstract: The blowout fractures may be classified as pure or impure depending on the associated structures. There are 2 main theories attempting to describe the mechanism of injury, the hydraulic, and blocking mechanism. The complications of this type of fracture may involve diplopia, enophthalmos, and ocular movement restriction. Several materials are available for the reconstruction of orbital floor, including the titanium mesh, which present great properties, such as easy modeling and stabilization, small thickness, and shape maintenance. There, however, are disadvantages such as the possibility of adherence formation. The aim of this report is to describe the case of a patient with an 8-month blowout fracture sequel, presenting extensive enophthalmos and treated by affixing a titanium mesh associated with bovine pericardium membrane in the orbital floor. Therefore, based on a 2-year follow-up, it was possible to observe how effective the association between these 2 materials in solving the case was.
authors.affiliation: *Oral and Maxillofacial Surgery of Doctor José Frota Institute †Oral and Maxillofacial Surgery of Doctor José Frota Institute ‡Oral and Maxillofacial Surgery of Batista Memorial Hospital, Ceará §Araçatuba Dental School-UNESP, São Paulo ||Federal University of Ceará, Doctor José Frota Institute, Fortaleza, Ceará, Brazil.
authors.forename: Leonardo de Freitas
authors.initials: Lde F
authors.lastname: Silva
authors.forename: Tibério Gomes
authors.initials: TG
authors.lastname: Magalhães
authors.forename: Diego Matos
authors.initials: DM
authors.lastname: Santana
authors.forename: Gabriel Gomes
authors.initials: GG
authors.lastname: Pimentel
authors.forename: Leonardo Perez
authors.initials: LP
authors.lastname: Faverani
authors.forename: Manoel de Jesus Rodrigues
authors.initials: Mde J
authors.lastname: Mello
mesh_terms: D000818:Animals; D001672:Biocompatible Materials / Q000737:chemistry*; D002417:Cattle; D004172:Diplopia / Q000209:etiology; D015841:Enophthalmos / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008567:Membranes, Artificial; D008875:Middle Aged; D015835:Ocular Motility Disorders / Q000209:etiology; D009915:Orbit / Q000601:surgery; D009917:Orbital Fractures / Q000150:complications / Q000601:surgery; D010496:Pericardium; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D013526:Surgical Mesh; D014025:Titanium / Q000737:chemistry*
chemical_list: D001672:Biocompatible Materials; D008567:Membranes, Artificial; D014025:Titanium