UNASSIGNED: Surgical management of medial wall orbital fractures should be considered to avoid @entity892 and @entity9577 . Treatment of these fractures remains a challenge for the maxillofacial surgeon because of complex anatomy and limited vision. This article aims to retrospectively evaluate the outcomes in the repair of medial orbital wall fractures using a retrocaruncular approach and @entity702 meshes, comparing the placement of the @entity702 mesh with three different techniques: (1) conventional free hand under direct vision, (2) with the assistance of an endoscope, and (c) with the assistance of a navigation system. Eighteen @entity1 who underwent surgery for orbital medial wall @entity174 were enrolled in the study. On the basis of the implant placement technique, three groups were identified: group 1 (CONV), conventional free hand under direct vision; group 2 (ENDO), endoscopically assisted; group 3 (NAVI), a navigational system assisted (BrainLab, Feldkirchen, Germany). The postoperative quality of orbital reconstruction was assessed as satisfactory in 12 cases, good in 4 cases, and unsatisfactory in 2 cases. Particularly in group 1 (CONV) in four @entity1 out of eight, the posterior ledge of the @entity174 was not reached by the implant and in one @entity1 the mesh hinged toward the ethmoid. In group 3 (NAVI), in one @entity1 out of five, the posterior ledge of the @entity174 was not reached. In conclusion, @entity702 orbital mesh plates and retrocaruncular approach are a reliable method to obtain an accurate orbital medial wall reconstruction. The use of endoscopic assistance through the surgical incisions improves accuracy of treatment allowing better visualization of the surgical field. Navigation aided surgery is a feasible technique especially for complex orbital reconstruction to improve predictability and outcomes in orbital repair.

Treatment of Orbital Medial Wall Fractures with XXXX Mesh Plates Using Retrocaruncular Approach: Outcomes with Different Techniques.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity9577 :: ('MESH:D015841', 'Disease') :: ['posttraumatic enophthalmos'] @entity892 :: ('MESH:D004172', 'Disease') :: ['diplopia'] @entity702 :: ('MESH:D014025', 'Chemical') :: ['titanium']
@entity702 :: (MESH:D014025,Chemical) :: ['Titanium']
