EVALUATION OF CUSTOMIZED POLYETHER ETHER KETONE IMPLANT IN RECONSTRUCTION OF ORBITAL FLOOR FRACTURES (CLINICAL TRIAL)” | ||||
| Alexandria Dental Journal | ||||
| Article 9, Volume 47, Issue 2, August 2022, Page 60-69 PDF (679.22 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/adjalexu.2021.98273.1220 | ||||
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| Authors | ||||
Heba Wagih Marie  1; Magued H Fahmy2; Ahmed O Sweedan3
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| 1Instructor of Oral and maxillofacial surgery, Faculty of Dentistry, Alexandria University | ||||
| 2Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University | ||||
| 3Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt. | ||||
| Abstract | ||||
| Introduction: Orbital floor fracture is one of the most common maxillofacial fracture. Hence, many clinical methods were implemented for improvement of the techniques used. Aim of this study: To evaluate the clinical performance of customized PEEK implant in the treatment of patients with orbital floor fracture. Materials and methods: 9 patients with recent orbital floor fracture were selected. All patients were treated using customized PEEK implants in orbital floor reconstruction. Patients were evaluated after 24-hours, one, four and six weeks for enophthalmos, diplopia, ocular motility and infraorbital nerve function in comparison with preoperative status. In addition, a radiographic investigation was performed immediately to confirm the proper placement of the implant and complete release of orbital soft tissue from the maxillary sinus. Result: the study was conducted on seven patients with ZMC fracture and 2 patients with blow-out fracture. None of the enrolled patients showed postoperative diplopia. Six out of the enrolled nine patients in this study reported a subjective abnormal sensation in the course of the affected infraorbital nerve at the first follow-up period. However, all patients regained normal sensation by the end of the follow-up period. The difference of the rate of postoperative ocular complications was statistically significant over the follow-up periods (p=0.036). Conclusion: The favorable clinical performance of the patient-specific PEEK sheet in the management of orbital floor defects makes it an exemplary reconstructive alternative with superb compatibility, great surgical precision and predictability. | ||||
| Keywords | ||||
| polyether ether ketone; orbital floor fractures; reconstruction | ||||
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