Korean J Otorhinolaryngol-Head Neck Surg.  2017 Feb;60(2):69-75. 10.3342/kjorl-hns.2016.16978.

Usefulness of Fibrin Glue in Transantral Orbital Floor Fracture Repair Using Bioresorbable Panel

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea.
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.
  • 3Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine and Medical Research Institute, Busan, Korea. entkong@gmail.com

Abstract

BACKGROUND AND OBJECTIVES
The purpose of this study was to evaluate the advantages and limitations of using fibrin glue for securing bioresorbable panels to reconstruct the fractured orbital floor by transantral approach.
SUBJECTS AND METHOD
A retrospective study was conducted from July 2009 to July 2015 in 35 patients with pure orbital floor fractures. Nineteen patients underwent reduction surgery for inserting the bioresorbable panel and 16 patients underwent reduction surgery using fibrin glue for securing the bioresorbable panel via a transantral approach. In both groups, a chart review of preoperative and postoperative ocular symptoms, operation records, and complications was conducted.
RESULTS
There was no significant difference between two groups in the demographic data of patients. Comparing the surgical outcomes between two groups, diplopia and mean discrepancy between fractured bone chip and intact orbital floor based on computed tomography scans showed much better results in the group that used bioresorbable panel secured by fibrin glue than in the bioresorbable only group. Furthermore, we carried out revision operations in six cases in the bioresorbable panel only group, where we found that the main cause of fracture to be the dislocation of bioresorbable panel. On the other hand, in the bioresorbable panel secured by the fibrin glue group, there were no reoperation and postsurgical complications.
CONCLUSION
During the course of the study, we sensed orbital floor fracture repair using bioresorbable panel secured by fibrin glue via a transantral approach as an easy and effective technique with good postoperative results, and minimal implant related complications. This novel procedure is recommended as a surgical option for the reduction of orbital floor fractures, especially in large and posterior fractures.

Keyword

Blow-out fracture; Fibrin glue

MeSH Terms

Diplopia
Dislocations
Fibrin Tissue Adhesive*
Fibrin*
Hand
Humans
Methods
Orbit*
Orbital Fractures
Reoperation
Retrospective Studies
Fibrin
Fibrin Tissue Adhesive
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