Evaluation the outcomes of using iliac bone graft for reconstruction of traumatic orbital floor fractures

Main Article Content

Mukhalled Salim Alasady
Amer Kanj
Abd El Hadi Kanj

Keywords

iliac bone ; traumatic; orbital floor fractures.

Abstract

Background: Orbital floor fracture is common in facial trauma patients. Although surgical repair, the orbital floor fractures are associated with risk of persisting sensibility disorders, enophthalmos and permanent diplopia due to complex antatomy of the orbit,time of surgery & the reconstructive material used for such repairing.


 Failure of early recognition and treatment of these traumatic injuries may result in  functional and cosmetic problems. Autogenous bone grafts are the gold standard for reconstruction of maxillofacial defects. The iliac crest is also considered the most ideal donor site for bone grafting when a large amounts of bone is needed.


Objective : To assess the outcome of early repair of orbital floor fractures in regard to enophthalmos, double vision ,extrusion and gait disturbance.


Patients and methods: A total of 15 patients, all with orbital floor fracture, were enrolled 12 of them were having pure blow-out fractures and 3 patients had impure blow-out fractures, all were underwent primary surgical reconstruction of the orbital floor by autogenous anterior iliac crest within 5 – 14 days after injury.


Results: The results were well represented as the following: Post-operative complications at recipient site included diplopia (13.3%) Enophthalmos (6.7%) and extrosion (6.7%). At the donor site one patient had pain and another one had gait disturbances, both relieved within one month after treatment.


Conclusions: Less complications had been reported post operatively with the use of  non vascularized autogenous iliac bone graft .

Abstract 122 | pdf Downloads 69 PDF Downloads 94 XML Downloads 48 HTML Downloads 753

References

1. Chen CT, Chen YR. Application of endoscope in orbital fracture. Semin Plastic Surg 2002; 16:241–250.
2. Kelley P, Crawford M, Higuera S, Hollier LH. Two hundred ninety-four consecutive facial fractures in an urban trauma center: lessons learned. Plast Reconstr Surg 2005; 116:42e–49e.
3. Cruz AA, Eichenberger GC. Epidemiology and management of orbital fractures. Curr Opin Ophthalmol 2004; 15:416–421.
4. Jamal BT, Pfahler SM, Lane KA, et al. Ophthalmic injuries in patients with zygomaticomaxillary complex fractures requiring surgical repair. J Oral Maxillofac Surg 2009; 67:986–989.
5. Lewis, R., Tissue Engineering now coming into its own as a Scientific Field. Scientist, 1995. 9 (15): p. 12-13.
6. Barr, M.L., et al., A report of the Vancouver Forum on the care of the live organ donor: lung, liver, pancreas, and intestine data and medical guidelines. Transplantation, 2006. 81(10): p. 1373-85.
7. Bone_and_Joint_Decade's_Musculoskeletal_Portal.www.boneandjo intdecade. org.
8. Liakovan V, Moss KF, EL – Attar A, Handley D. A comparison of imaging techniques with surgical experience in orbital injuries- a prospective study. Journal of Cranio-Maxillo-Facial Surgery 1991: 348-352.
9. Siddique SA, Mathog RH. Comparison of parietal and iliac crest bone graft for orbital floor reconstruction. J Oral Maxillofac Surg 2002; 60: 44-50.
10. Burm I.S, Chung CH, Oh SJ. Pure orbital blowout fracture: new concepts and importance of medial orbital blowout fracture, last Reconstr Surg 1990; 103: 183949.
11. Hirota Y, Takeuchi N , Ishio K, Takasago E, kitahara N, linuma T, Blow – out fractures of the orbital – imaging modalities and therapeutic results. Nippon Jibinkoka G akkai Kaiho 1991; 94: 1123-35.
12. Osguthorpe JD. Orbital Wall Fractures; evaluation and management, Otolaryngol Head Surg 1991; 105: 702-7.
13. McNab AA. Orbital and optic nerve trauma. World J surg 2001; 25: 1084-8.
14. Raghoebar GM, Brouwer TJ, Reintsema H, Van Oort RP: Augmentation of the maxillary sinus floor with autogenous bone for the placement of endosseous implants: a preliminary report. J Oral Maxillofac Surg 1993; 51(11): 1198-1203.
15. Vriens JP, van der Glas HW, Moos KF et al. Infraorbital nerve function following treatment of orbitozygomatic complex fractures .A multi test approach. Int J Oral Maxillofac Surg 1998; 27 (1):27-32.
16. Pensler J, McCarthy JG. Th e calvarial donor site: an anatomic study in cadavers. Plast Reconstr Surg 1985; 75(5):648–651.
17. American_Academy_of_Orthopaedic_Surgeons, www.orthoinfo.aaos.org(accessed on May, 6, 2013).
18. Tong AL, Richard B, Buchman SR, A Current 10-Year Retrospective Survey of 199 Surgically Treated Orbital Floor Fractures in a Nonurban Tertiary Care Center Plast. Reconslr. Surg. 2001; 108: 612.
19. Reha Y., Serhan T., Yavuz M, et al. Reconstruction of Orbital Floor Fracture Using Solvent-Preserved Bone Graft, Plast, Reconstr. Surg. 2004;113: 34.
20. Burm I.S, Chung CH, Oh SJ. Pure orbital blowout fracture: new concepts and importance of medial orbital blowout fracture, last Reconstr Surg 1990; 103: 183949.
21. Waterhouse, N., Lyne, J., Urdang, M., and Garey, L. An investigation into the mechanism of orbital blowout fractures. Br. J. Oral Maxillofac. Surg. 1999; 52: 607.
22. Manson, P. N., Clifford, C. M., Su, C. T., Iliff, N. T., and Morgan, R. Mechanisms of global support and posttraumatic enophthalmos: I. The anatomy of the ligament sling and its relation to intramuscular cone orbital fat. Plast. Reconstr. Sum. 1986; 77: 193.
23. Manson, P. N., Grivas, A., Rosenbaum, A., Vannier, M., Zinreich, J., and Iliff, N. Studies on enophthalmos: II. The measurement of orbital injuries and their treatment by quantitative computed tomography. Plast Reconstr. Surg. 1986; 77: 203.
24. Mohammed ZI, Qasim MT. Hormonal profile of men during infertility. Biochem Cell Arch 2021;21:2895–8. Available from: https://connectjournals.com/03896.2021.21.2895.
25. Tahmasebi S, Qasim MT, Krivenkova MV, Zekiy AO, Thangavelu L, Aravindhan S, Izadi M, Jadidi‐Niaragh F, Ghaebi M, Aslani S, Aghebat‐Maleki L. The effects of oxygen–ozone therapy on regulatory T‐cell responses in multiple sclerosis patients. Cell biology international. 2021 Mar 16. https://doi.org/10.1002/cbin.11589
26. Shabgah AG, Qasim MT, Mostafavi SM, Zekiy AO, Ezzatifar F, Ahmadi M, Haftcheshmeh SM, Navashenaq JG. CXC chemokine ligand 16: a Swiss army knife chemokine in cancer. Expert Reviews in Molecular Medicine. 2021;23. https://doi.org/10.1017/erm.2021.7
27. Roncevic R, Malinger B. Experience with various procedures in the treatment of orbital floor fractures. J Maxillofac Surg. 1981;9(2):81–84.
28. Forrest C, Boyd B, Manktelow R, et al. The free vascularised iliac crest tissue transfer: donor site complications associated with eighty-two cases. Br J Plast Surg. 1992 Feb-Mar;45(2):89-93.
29. Dmitry Olegovich Bokov, Abduladheem Turki Jalil, Forat H. Alsultany, Mustafa Z. Mahmoud, Wanich Suksatan, Supat Chupradit, Maytham T. Qasim & Parvaneh Delir Kheirollahi Nezhad. Ir-decorated gallium nitride nanotubes as a chemical sensor for recognition of mesalamine drug: a DFT study, Molecular Simulation, 2022. DOI: 10.1080/08927022.2021.2025234
30. Ansari, M.J., Jasim, S.A., Taban, T.Z. et al. Anticancer Drug-Loading Capacity of Green Synthesized Porous Magnetic Iron Nanocarrier and Cytotoxic Effects Against Human Cancer Cell Line. J Clust Sci (2022). https://doi.org/10.1007/s10876-022-02235-4
31. Huldani Huldani, Saade Abdalkareem Jasim, Dmitry Olegovich Bokov, Walid Kamal Abdelbasset, Mohammed Nader Shalaby, Lakshmi Thangavelu, Ria Margiana, Maytham T. Qasim. Application of extracellular vesicles derived from mesenchymal stem cells as potential therapeutic tools in autoimmune and rheumatic diseases, International Immunopharmacology,Volume 106, 2022, 108634, ISSN 1567-5769, https://doi.org/10.1016/j.intimp.2022.108634.
32. Zadeh, Firoozeh Abolhasani, et al. "Cytotoxicity evaluation of environmentally friendly synthesis Copper/Zinc bimetallic nanoparticles on MCF-7 cancer cells." Rendiconti Lincei. Scienze Fisiche e Naturali (2022): 1-7.‏
33. Hafsan Hafsan,Dmitry Bokov,Walid Kamal Abdelbasset,Mustafa M. Kadhim,Wanich Suksatan,Hasan Sh. Majdi,et al . Dietary Dracocephalum kotschyi essential oil improved growth, haematology, immunity and resistance to Aeromonas hydrophila in rainbow trout (Oncorhynchus mykiss), 2022. https://doi.org/10.1111/are.15829