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Topic: Biomaterials for Plastic and Aesthetic Surgery

Materials to facilitate orbital

reconstruction and soft tissue filling in

posttraumatic orbital deformaties

Ling-Xiao Ye, Xiao-Ming Sun, Yu-Guang Zhang, Ying Zhang
Department of Plastic and Reconstructive Surgery, Ninth People’s Hospital affiliated to the Medical School of Shanghai Jiao Tong
University, Shanghai 200011, China.
Address for correspondence: Dr. Ying Zhang, Department of Plastic and Reconstructive Surgery, Ninth People’s Hospital affiliated to
the Medical School of Shanghai Jiao Tong University, 639 Zhi Zao Ju Road, Shanghai 200011, China. E-mail: zyinghh@163.com

Dr. Ying Zhang, M.D., The vice professor of Department of Plastic and Reconstructive Surgery, Shanghai
Ninth People’s Hospital, Jiao Tong University. Graduated from Shanghai Jiaotong University School of
Medicine, 6/2004. Major in the reconstruction of facial deformities and facial rejuvenation. The member of
China Physician’s Society of Plastic Ophthalmology, Operation Smile and International Aesthetic Plastic
Association.

ABSTRACT

Posttraumatic orbital reconstruction has been a challenging mission for decades in
craniomaxillofacial surgery. Complications like enophthalmos, diplopia and gaze obstacles emerge
when orbital trauma occurs, affecting people’s daily life as well as their appearance. Advances
in technology and research gained through years of experience has provided us with a greater
understanding of the changes following trauma, as well as providing us with a variety of filling
materials that we can choose from to handle the deformities. However, the best type of material
for repair of orbital deformities remains controversial. This paper reviewed approximately 60
articles discussing materials used in orbital reconstruction or soft tissue defect filling in the past
years, with the aim of giving a comprehensive overview of the advantages and disadvantages of
materials used in this field so as to help surgeons to make a better choice.

Key words:
Orbital reconstruction; soft tissue filling; materials; enophthalmos

INTRODUCTION eye is well protected by the strong orbital rim, the thin
orbital floor, and the medial wall that acts as a shock
Orbital fracture is common in facial trauma. Its incidence absorber, there is a high chance of associated ocular
[2]
ranges from 18% to 50% of all craniomaxillofacial traumas, injuries after orbital trauma, ranging from 22% to 76%.
considering the difference of the geographic region,
injury mechanism and study population. Although the This is an open access article distributed under the terms of the Creative Commons
[1]
Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix,
tweak and build upon the work non-commercially, as long as the author is credited
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How to cite this article: Ye LX, Sun XM, Zhang YG, Zhang Y.
Materials to facilitate orbital reconstruction and soft tissue filling in
DOI: posttraumatic orbital deformaties. Plast Aesthet Res 2016;3:86-91.
10.20517/2347-9264.2015.122
Received: 21-11-2015; Accepted: 10-12-2015
86 © 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc.