title: A Wrapping Method for Inserting Titanium Micro-Mesh Implants in the Reconstruction of Blowout Fractures.
abstract: Titanium micro-mesh implants are widely used in orbital wall reconstructions because they have several advantageous characteristics. However, the rough and irregular marginal spurs of the cut edges of the titanium mesh sheet impede the efficacious and minimally traumatic insertion of the implant, because these spurs may catch or hook the orbital soft tissue, skin, or conjunctiva during the insertion procedure. In order to prevent this problem, we developed an easy method of inserting a titanium micro-mesh, in which it is wrapped with the aseptic transparent plastic film that is used to pack surgical instruments or is attached to one side of the inner suture package. Fifty-four patients underwent orbital wall reconstruction using a transconjunctival or transcutaneous approach. The wrapped implant was easily inserted without catching or injuring the orbital soft tissue, skin, or conjunctiva. In most cases, the implant was inserted in one attempt. Postoperative computed tomographic scans showed excellent placement of the titanium micro-mesh and adequate anatomic reconstruction of the orbital walls. This wrapping insertion method may be useful for making the insertion of titanium micro-mesh implants in the reconstruction of orbital wall fractures easier and less traumatic.
authors: Department of Plastic and Reconstructive Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
authors: Tae Joon
authors: TJ
authors: Choi
authors: Department of Plastic and Reconstructive Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
authors: Jin Sik
authors: JS
authors: Burm
authors: Department of Plastic and Reconstructive Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
authors: Won Yong
authors: WY
authors: Yang
authors: Department of Plastic and Reconstructive Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
authors: Sang Yoon
authors: SY
authors: Kang
keywords: Orbital fracture; Procedure, Reconstructive surgical; Surgical mesh; Titanium