Use of Vicryl (Polyglactin‐910) Mesh Implant for Correcting Enophthalmos and Hypo‐ophthalmos A Study of 16 Patients
作者:
Joseph Mauriello,
Richard McShane,
James Voglino,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1990)
卷期:
Volume 6,
issue 4
页码: 247-251
ISSN:0740-9303
年代: 1990
出版商: OVID
关键词: Vicryl mesh;Orbital floor fracture;Orbital floor implant;Silicone implant
数据来源: OVID
摘要:
Vicryl mesh (polyglactin-910) implants were used to reconstruct the orbital floor to correct enophthalmos or hypo-ophthalmos (globe ptosis) in 16 patients. The main advantages of Vicryl mesh over other alloplastic implants is that (a) it is absorbed by host tissues, and, once absorbed, it will not cause long-term complications; (b) it is layered and is cut from folded sheets into the appropriate size, shape, and thickness for the treatment of enophthalmos or hypo-ophthalmos; and (c) it is soft and pliable and, therefore, is unlikely to erode orbital structures. We followed all 16 patients for a minimum period of 6 months after surgery and observed no significant adverse reactions to the mesh; 15 of the patients had good surgical results with a mean improvement of 1.4 mm in enophthalmos and 0.6 mm in hypo-opthalmos. After surgery, one patient with combined medial wall and floor fractures developed enophthalmos that was 2 mm more severe than the degree of preoperative enophthalmos. Vicryl mesh should be considered an alternative to both nonautogenous implants and autogenous grafts in orbital floor fracture repair especially for correction of mild and possibly moderate degrees of enophthalmos and hypoophthalmos.
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