Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts
AbstractRepairs of orbital post-traumatic and extensive malignant defects remain a major surgical challenge, in view of follow-up outcomes. Incorrect surgical management of injured facial structures results in cosmetic, ophthalmic, and social aftereffects. A custom-made knitted TiNi-based mesh (KTNM) endograft was employed to overcome post-surgical complications and post-resected lesions of the orbital area. Preoperative high-resolution computed tomography (CT) imaging and CAD modelling were used to design the customized KTNM in each case. Twenty-five patients underwent surgery utilizing the suggested technique, from 2014 to 2019. In all documented cases, resolution of the ophthalmic malfunction was noted in the early period. Follow-up observation evidenced no relapsed enophthalmos, hypoglobus, or diplopia as late complications. The findings emanating from our clinical observations allow us to claim that the KTNM indicated a high level of biocompatibility. It is simply modified intraoperatively to attach any desired shape/size for implantation and can also be screw-fixed, providing a good supporting ability. The KTNM precisely renders orbitozygomatic outlines and orbital floor, thus recovering the anatomical structure, and is regarded as an attractive alternative to Ti-based meshes and plates. Additionally, we report one of the studied cases, where good functional and cosmetic outcomes have been achieved. View Full-Text
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Shtin, V.; Novikov, V.; Chekalkin, T.; Gunther, V.; Marchenko, E.; Choynzonov, E.; Kang, S.B.; Chang, M.J.; Kang, J.H.; Obrosov, A. Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts. J. Funct. Biomater. 2019, 10, 27.
Shtin V, Novikov V, Chekalkin T, Gunther V, Marchenko E, Choynzonov E, Kang SB, Chang MJ, Kang JH, Obrosov A. Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts. Journal of Functional Biomaterials. 2019; 10(3):27.Chicago/Turabian Style
Shtin, Valentin; Novikov, Valeriy; Chekalkin, Timofey; Gunther, Victor; Marchenko, Ekaterina; Choynzonov, Evgeniy; Kang, Seung B.; Chang, Moon J.; Kang, Ji H.; Obrosov, Aleksei. 2019. "Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts." J. Funct. Biomater. 10, no. 3: 27.
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