SMOOTH NYLON FOIL (SUPRAFOIL) IN MANAGEMENT OF ORBITAL FRACTURES

Abstract

Objective: The objective of this study is to to evaluate the efficacy, safety , advantages and disadvantages of a nylon foil (supraFOIL) implant in orbital fracture repair.
Study design: Prospective, noncomparative, interventional case series.
Patients and Methods: Thirty patients who underwent orbital reconstructions using 0.4-mm smooth nylon foil (supraFOIL) sheets for the repair of orbital fracture were included. A subciliary approach was the main approach used in the patients. The mean postoperative follow-up was 13.7 ± 4.7 months. Postoperatively, results and complications such as diplopia , enophthalmos, infraorbital nerve parasthesia and infection were followed-up on the first day, the first week, monthly for the first 3 months and then every 3 months thereafter.
Results: Twenty patients had symptomatic diplopia before surgery. The diplopia resolved in 16 patients. Only four patients had persistent post operative diplopia. Preoperative enophthalmos resolved in four of seven patients . Infraorbital nerve parasthesia resolved in six of nine patients.
Conclusion: .The low rate of reported postoperative diplopia, demonstrates acceptable results in using supraFoil patch for reconstruction of the orbital fracture in this study, it was found that the anatomical eyeball position and eyeball movement were normal after surgical treatment using the supraFoil implant .Furthermore, supraFoil is a cost-effective material as it costs significantly less than PDS foils or titanium mesh.
Key words: Suprafoil; Orbital fractures.