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Abstract It was carried on twenty two patients; eleven of them their orbital oor reconstructed by NSG, classied as group (1) and the remaining eleven patients their orbital oor reconstructed by titanium mesh, and classied as group (2). All the patients were followed up clinically and radiographically 3, 6, and 12 months post-operatively. The changes in bone density of the grafted area was monitored by C.T soft ware every follow up. The clinical follow-up was based on monitoring the post-operative complications and patient satisfactions. 6.2 Conclusion The NSG was proved to be eective and reliable in adequately restoring the orbital oor fractures ranging from the small to medium defects, and at the same time maintaining the normal function and satisfactory esthetic appearance of the globe without distressing limitations. The NSG is abundant, autogenous source with minimal donor site morbidity The NSG easy to harvest and shape and can provide long term support to the surrounding issues without undergoing resorption. 123 Chapter X. Summary and conclusion 124 The titanium mesh implant was proved to be eective and reliable in adequately restoring the orbital oor fractures ranging from the small to the extensive large defects, and at the same time maintaining the normal function and satisfactory esthetic appearance of the globe without distressing limitations. The use of titanium mesh is time saving and highly adaptable with limited volume not interfering with decrease in the total intraorbital volume. It has the advantage to be readily visible in all routine x-rays and in the same time is strong enough to adequately support the globe and the periorbital soft tissues maintaining its ideal vertical and horizontal positions in relation to the unaected contralateral side even in the large defects involving most of the orbital floor |