Open AccessOrbital Floor Blowout Fracture Reconstruction Using Moldable Polymethyl Methacrylate: A Report of Two Cases and Their Imaging Findings
Author(s) -
Majed Fehaid AlSubaie,
Abdulaziz Mohammad Al-Sharydah,
Hala M Nassim,
Abrar Hawsawi
Publication year - 2022
Publication title -
open access emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.408
H-Index - 14
ISSN - 1179-1500
DOI - 10.2147/oaem.s359173
Subject(s) - enophthalmos , medicine , orbital fracture , polymethyl methacrylate , orbit (dynamics) , diplopia , surgery , materials science , composite material , aerospace engineering , polymer , engineering
Blowout fracture is defined as an internal orbital fracture that does not involve the orbital rim. This type of fracture results in the loss of tissue and disruption of the structure of the orbital wall. The symptoms and signs include pain, enophthalmos, diplopia, orbital emphysema, and ecchymosis. The surgeon's main goal is to reconstruct the orbit in the best possible manner to achieve optimal anatomy and functionality of the orbit wall postoperatively. There is no consensus regarding the best material for use in surgical orbital reconstruction, despite the commercial availability of several biological and manufactured materials. Moreover, material selection is often based on the practitioner's preferences/experience and patient safety. This study reported two cases of orbital fracture reconstruction using moldable methyl polymethacrylate as a bone surrogate. This material has already been used in dentistry, neurosurgery, and orthopedic surgery and is potentially hazard-free for orbit surgery.