Purpose. To validate the potential of bioresorbable implantation in secondary revisional reconstruction after inadequate primary\norbital fracture repair, with assessment of pre- and postoperative clinical characteristics and computed tomography image\nfindings. Methods. A retrospective chart review was conducted on 16 consecutive patients treated for orbital fractures at Shanghai\nNinth Peopleâ??s Hospital, Shanghai Jiao Tong University School of Medicine, with inadequate prior surgeries between July 2010\nand June 2017; patients who had suffered orbital blowout fractures had undergone primary surgeries elsewhere. Secondary repair\nof orbital fractures used bioresorbable material following unsatisfactory primary orbital repair. Patientsâ?? demographics, degree of\nenophthalmos, ocular motility, diplopia test results, primary implants, and surgical complications were reviewed. Results. All 16\npatients had primary orbital implants consisting of Medpor, titanium mesh, hydroxyapatite, or poly-L-lactide. Of the 16 cases, 14\nhad malpositioned implants posteriorly and two had implant infections. Findings following primary surgery included\nenophthalmos (12/16), diplopia (9/16), intraorbital abscess (2/16), and ocular movement pain (1/16). Mean preoperative\nenophthalmos.....................
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