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Use of Acellular Allogenic Dermal Matrix (MegaDerm) in Orbital Wall Reconstruction: A Comparison With Absorbable Mesh Plate and Porous Polyethylene

Authors
 Kim, Jiye  ;  Lew, Dae Hyun  ;  Roh, Tai Suk  ;  Lee, Won Jai 
Citation
 Journal of Craniofacial Surgery, Vol.28(7) : e644-e649, 2017 
Journal Title
 Journal of Craniofacial Surgery 
ISSN
 1049-2275 
Issue Date
2017
MeSH
Acellular Dermis* ; Bone Plates ; Diplopia/surgery ; Enophthalmos/surgery ; Female ; Humans ; Male ; Orbital Fractures/surgery* ; Polyethylene ; Reconstructive Surgical Procedures/adverse effects ; Reconstructive Surgical Procedures/methods* ; Retrospective Studies
Abstract
The selection of materials for orbital wall reconstruction has been a matter of debate. This study aimed to evaluate the effectiveness of an acellular allogenic dermal matrix (ADM) as an orbital wall reconstruction material and to compare the results of orbital wall reconstruction with the ADM to those of reconstruction with the more widely used absorbable mesh plate and porous polyethylene. We retrospectively reviewed the clinical charts and computed tomography images of 73 patients who underwent orbital reconstruction at 1 institution between March 2013 and February 2014. In the ADM group, the mean defect size of 29 patients was 2.89 cm. After orbital wall reconstruction with ADM, patients with preoperative enophthalmos (7 patients), limited range of eyeball movement (6 patients), and diplopia (12 patients) showed improvements. In the comparative study, the 3 groups showed no significant differences with respect to age distribution (P = 0.522), defect size (P = 0.455), and preoperative findings such as enophthalmos (P = 0.811), diplopia (P = 0.357), and limited range of eyeball movement (P = 0.795). All the preoperative symptoms improved in every group, and in the ADM group, no complication was observed during the postoperative follow-up. ADM is a biocompatible material that combines the flexibility and rigidity required to support the orbital soft tissue. Therefore, it could be an excellent alternative material for orbital wall reconstruction.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/161101
DOI
10.1097/SCS.0000000000003782
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실)
Yonsei Authors
유대현(Lew, Dae Hyun)
이원재(Lee, Won Jai)
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http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-201710000-00078&LSLINK=80&D=ovft
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