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10.3390/ma13010206
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Article

Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®)

by
Otto Steinmassl
1,
Johannes Laimer
1,*,
Vincent Offermanns
1,
Matthias Wildauer
2,
Patricia-Anca Steinmassl
3,
Astrid E. Grams
4,
Ferdinand Kofler
1,
Michael Rasse
1 and
Emanuel Bruckmoser
5
1
University Hospital for Cranio-Maxillofacial and Oral Surgery, A-6020 Innsbruck, Austria
2
University Hospital for Radiology, Medical University of Innsbruck, A-6020 Innsbruck, Austria
3
University Hospital for Dental Prosthetics and Restorative Dentistry, A-6020 Innsbruck, Austria
4
University Hospital for Neuroradiology, A-6020 Innsbruck, Austria
5
Private Practice for Oral and Maxillofacial Surgery, A-5020 Salzburg, Austria
*
Author to whom correspondence should be addressed.
Materials 2020, 13(1), 206; https://doi.org/10.3390/ma13010206
Submission received: 26 November 2019 / Revised: 29 December 2019 / Accepted: 31 December 2019 / Published: 3 January 2020
(This article belongs to the Section Biomaterials)
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Abstract

The aim of this retrospective study was to evaluate the clinical outcome of surgical management of small versus large, isolated orbital floor fractures (OFFs) using polyglactin 910/polydioxanone (Ethisorb®). Covering a four-year period (2010–2013), all records concerning midfacial fractures with involvement of the orbit were screened. Isolated fractures of the orbital floor as well as combined injuries of the orbital floor and medial wall that had been treated surgically using polyglactin 910/polydioxanone (Ethisorb®) were included. Patients underwent a preoperative, a postoperative, and a late ophthalmologic assessment. The clinical outcomes of surgically managed small OFFs up to 2 cm2 were statistically analyzed and compared to clinical results in larger defects. The final sample included 61 patients (25 women, 36 men). Fractures up to 2 cm2 were found in 33 patients (54.1%), whereas 28 patients (45.9%) suffered from OFFs larger than 2 cm2. The clinical outcomes did not significantly differ between both sample categories, and statistical analysis showed a power of 0.91 to detect a potentially existing difference. On final examination, 52 patients were free of any clinical symptoms, whereas minor issues were found in seven subjects, and two patients suffered from severe impairment. In conclusion, polyglactin 910/polydioxanone (Ethisorb®) seems to be a suitable material for surgical repair of both small and large OFFs.
Keywords: orbital floor fracture; reconstruction; polyglactin 910/polydioxanone; Ethisorb® orbital floor fracture; reconstruction; polyglactin 910/polydioxanone; Ethisorb®

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MDPI and ACS Style

Steinmassl, O.; Laimer, J.; Offermanns, V.; Wildauer, M.; Steinmassl, P.-A.; Grams, A.E.; Kofler, F.; Rasse, M.; Bruckmoser, E. Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®). Materials 2020, 13, 206. https://doi.org/10.3390/ma13010206

AMA Style

Steinmassl O, Laimer J, Offermanns V, Wildauer M, Steinmassl P-A, Grams AE, Kofler F, Rasse M, Bruckmoser E. Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®). Materials. 2020; 13(1):206. https://doi.org/10.3390/ma13010206

Chicago/Turabian Style

Steinmassl, Otto, Johannes Laimer, Vincent Offermanns, Matthias Wildauer, Patricia-Anca Steinmassl, Astrid E. Grams, Ferdinand Kofler, Michael Rasse, and Emanuel Bruckmoser. 2020. "Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®)" Materials 13, no. 1: 206. https://doi.org/10.3390/ma13010206

APA Style

Steinmassl, O., Laimer, J., Offermanns, V., Wildauer, M., Steinmassl, P.-A., Grams, A. E., Kofler, F., Rasse, M., & Bruckmoser, E. (2020). Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®). Materials, 13(1), 206. https://doi.org/10.3390/ma13010206

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