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2015, Número 2

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Cir Plast 2015; 25 (2)


Experiencia a largo plazo con el uso de implantes absorbibles preformados para el tratamiento de fracturas orbitarias

Malagón-Hidalgo HO, González-Magaña F, Ayala-Ugalde F, García-Cano E, Vilchis-López R

Idioma: Español
Referencias bibliográficas: 35
Paginas: 97-105
Archivo PDF: 411.26 Kb.


RESUMEN

Los objetivos del tratamiento de las fracturas orbitarias son reducción del tejido orbitario, reparación del defecto y restitución del volumen. Se han descrito muchos materiales para cumplir estas metas sin que haya reporte de series con el uso de materiales absorbibles en México. Se realizó un estudio en el Centro Médico ISSEMyM, en el Estado de México que incluyó a todos los pacientes con diagnóstico de fractura orbitaria reconstruida con implante absorbible de ácido l-poliláctico y poliglicólico. Se reportan 83 fracturas presentes en 57 pacientes. Las complicaciones presentadas fueron enoftalmos en 5 (8.7%) y atrapamiento muscular en uno (1.8%). Sólo dos pacientes se reoperaron. El material absorbible presenta ventajas al restaurar la continuidad del piso orbitario, disponibilidad ilimitada, disminución del tiempo quirúrgico, evitar la morbilidad del sitio donador y complicaciones tardías. En nuestro estudio no se presentaron casos de diplopía a diferencia de los estudios con uso de cartílago septal, PDS, malla de titanio, polietileno e injerto osteocondral, se reporta en rango de 2 a 50%. El uso de implante absorbible en fracturas de piso de órbita menores de 2 cm2 es factible y exitoso, con un riesgo mínimo de enoftalmos, diplopía y complicaciones


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