{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T07:21:09Z","timestamp":1789888869706,"version":"4.0.1"},"reference-count":31,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2013,9,1]],"date-time":"2013-09-01T00:00:00Z","timestamp":1377993600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Craniomaxillofacial Trauma &amp; Reconstruction"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Combined orbital floor and medial wall fractures can be technically challenging to repair, particularly when the inferomedial strut is involved. A surgical repair technique is described utilizing a single preshaped porous polyethylene\/titanium implant to span both defects. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Retrospective interventional case series. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Fracture repair was performed on 17 orbits (16 patients) between October 2009 and February 2012. Subsequent surgical revision was required in three cases (18%). Visual acuity was stable or improved in all cases. Of 7 patients with preoperative diplopia, 5 improved and 2 remained stable postoperatively, and there were no cases of new or worsened diplopia following surgery. Postoperative asymmetry in Hertel exophthalmometry averaged 1.0 mm (range 0 to 2 mm). Preoperatively, average orbital volume was 122.7% compared with control (range 109 to 147%, standard deviation [SD] 9.6), which improved to 100.3% postoperatively (range 92 to 110%, SD 5.7). The average decrease in orbital volume was 22.5% (range 10 to 54%, SD 11.4, p &lt; 0.001). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> With careful preoperative planning and meticulous surgical technique, combined orbital floor and medial wall fractures involving the inferomedial strut can be successfully repaired with a preshaped porous polyethylene\/titanium implant through a transconjunctival\/transcaruncular approach with inferior oblique disinsertion. <\/jats:p><\/jats:sec>","DOI":"10.1055\/s-0033-1343785","type":"journal-article","created":{"date-parts":[[2013,6,1]],"date-time":"2013-06-01T04:11:53Z","timestamp":1370059913000},"page":"161-169","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Combined Orbital Floor and Medial Wall Fractures Involving the Inferomedial Strut: Repair Technique and Case Series Using Preshaped Porous Polyethylene\/Titanium Implants"],"prefix":"10.3390","volume":"6","author":[{"given":"Raymond I.","family":"Cho","sequence":"first","affiliation":[{"name":"Oculoplastic and Orbital Surgery Service, San Antonio Military Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett W.","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Wilford Hall Ambulatory Surgical Center, San Antonio, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2013,9,1]]},"reference":[{"key":"bibr1-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-198501020-00014"},{"key":"bibr2-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-198906000-00001"},{"key":"bibr3-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1016\/0039-6257(91)90048-K"},{"key":"bibr4-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/00055735-200310000-00002"},{"key":"bibr5-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1038\/sj.eye.6702384"},{"key":"bibr6-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/01.iop.0000242163.03589.0e"},{"key":"bibr7-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-199901000-00012"},{"key":"bibr8-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181788de8"},{"key":"bibr9-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2006.06.018"},{"key":"bibr10-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181abb44b"},{"key":"bibr11-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-199203000-00005"},{"key":"bibr12-s-0033-1343785","first-page":"252","volume":"28","author":"Wright ED","year":"1999","journal-title":"J Otolaryngol"},{"key":"bibr13-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-200209000-00007"},{"key":"bibr14-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3181929b6e"},{"key":"bibr16-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e31815a1235"},{"key":"bibr17-s-0033-1343785","first-page":"220","author":"Kahana A","year":"2009","journal-title":"Surgical Atlas of Orbital Disease"},{"key":"bibr18-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0b013e3182467c4a"},{"key":"bibr19-s-0033-1343785","first-page":"53","volume":"10","author":"McCord CD","year":"1979","journal-title":"Ophthalmic Surg"},{"key":"bibr20-s-0033-1343785","first-page":"377","volume":"6","author":"Shore JW","year":"1987","journal-title":"Adv Ophthalmic Plast Reconstr Surg"},{"key":"bibr21-s-0033-1343785","first-page":"288","volume":"23","author":"Silkiss RZ","year":"1992","journal-title":"Ophthalmic Surg"},{"key":"bibr22-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880210090012"},{"key":"bibr23-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(00)00241-4"},{"key":"bibr24-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200206000-00009"},{"key":"bibr25-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1080\/016768390504254"},{"key":"bibr26-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1202598"},{"key":"bibr27-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1001\/archophthalmol.2009.5"},{"key":"bibr28-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2010.07.015"},{"key":"bibr29-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2006.07.013"},{"key":"bibr30-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2002.35722"},{"key":"bibr31-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.05-0816"},{"key":"bibr32-s-0033-1343785","doi-asserted-by":"publisher","DOI":"10.1001\/archfacial.2009.77"}],"container-title":["Craniomaxillofacial Trauma &amp; Reconstruction"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1055\/s-0033-1343785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1055\/s-0033-1343785","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1055\/s-0033-1343785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T09:33:33Z","timestamp":1742290413000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1943-3883\/6\/3\/26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,9]]}},"alternative-id":["10.1055\/s-0033-1343785"],"URL":"https:\/\/doi.org\/10.1055\/s-0033-1343785","relation":{},"ISSN":["1943-3875","1943-3883"],"issn-type":[{"value":"1943-3875","type":"print"},{"value":"1943-3883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9]]}}}