{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T01:45:47Z","timestamp":1785807947438,"version":"3.56.0"},"reference-count":19,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T00:00:00Z","timestamp":1690502400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002632","name":"Hallym University Research Fund","doi-asserted-by":"publisher","award":["HURF-2022-42"],"award-info":[{"award-number":["HURF-2022-42"]}],"id":[{"id":"10.13039\/501100002632","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Little attention has been paid to combined orbital floor and medial wall fractures with the involvement of the inferomedial orbital strut. Managing this particular fracture can prove challenging. However, various innovative techniques have been introduced to assist with the process. Our study focuses on sharing our approach to orbital wall reconstruction using navigation guidance and titanium-reinforced porous polyethylene plates, specifically cases involving the inferomedial orbital strut. We believe that implementing a navigation system can effectively lead surgeons to the fracture site with utmost safety. Also, we hypothesized that this navigation system is beneficial to use singe fan titanium-reinforced porous polyethylene plates with orbital wall fractures involving IOS while minimizing possible complications. Methods: We retrospectively reviewed 131 patients with medial orbital wall and orbital floor fractures with or without combined other facial bone fractures who underwent orbital wall reconstruction by a single surgeon from May 2021 to May 2023. Amongst, we identified fourteen orbital wall fractures involving the inferomedial orbital strut. We used a subciliary incision as the only approach method for performing titanium-reinforced porous polyethylene plates for navigation-guided orbital wall reconstruction. Patients were followed up for at least three months. Results: All cases were effectively resolved using titanium-reinforced porous polyethylene plates. There were no complications during the patient\u2019s complete recovery, confirmed clinically and radiologically. Based on the serial CT results, it was discovered that implanted titanium-reinforced porous polyethylene plates successfully covered the defect. Conclusion: Based on our retrospective analysis, it has been determined that among the 131 recorded cases of orbital fractures, 14 of them (or 10.7%) involved the inferomedial orbital strut. Navigation-guided reduction using titanium-reinforced porous polyethylene (TR-PPE) plates can lead to predictable, reliable, and excellent outcomes for treating orbital fractures involving the inferomedial orbital strut without complications.<\/jats:p>","DOI":"10.3390\/jcm12154968","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T07:58:52Z","timestamp":1690531132000},"page":"4968","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Usefulness of the Navigation System to Reconstruct Orbital Wall Fractures Involving Inferomedial Orbital Strut"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8713-935X","authenticated-orcid":false,"given":"Tae Hwan","family":"Park","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong 18450, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"65","DOI":"10.18787\/jr.2019.26.2.65","article-title":"Management of Orbital Blowout Fractures: ENT Surgeon\u2019s Perspective","volume":"26","author":"Shim","year":"2019","journal-title":"J. Rhinol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Jung, E.H., Lee, M.J., and Cho, B.-J. (2022). The Incidence and Risk Factors of Medial and Inferior Orbital Wall Fractures in Korea: A Nationwide Cohort Study. J. Clin. Med., 11.","DOI":"10.3390\/jcm11092306"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e761","DOI":"10.1097\/SCS.0000000000002189","article-title":"Orbital Wall Restoring Surgery for Inferomedial Blowout Fracture","volume":"26","author":"Lim","year":"2015","journal-title":"J. Craniofacial Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"4263","DOI":"10.2147\/OPTH.S394722","article-title":"Clinical Results According to Inferior Oblique Manipulation in Patients with Inferomedial Blowout Fracture Involving the Orbital Strut","volume":"16","author":"Park","year":"2022","journal-title":"Clin. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Park, T.H. (2023). Orbitalization of Ethmoidal Sinus With Stacked Cross-linked Acellular Dermal Matrix: A New Strategy to Reconstruct Medial Orbital Wall Fracture. J. Craniofac. Surg.","DOI":"10.1097\/SCS.0000000000009504"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1111\/joa.13136","article-title":"Restoration of the inferomedial orbital strut using a standardized three-dimensional printing implant","volume":"236","author":"Kim","year":"2020","journal-title":"J. Anat."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1097\/SCS.0000000000009231","article-title":"Anatomical Reconstruction of Extensive Inferomedial Blow-Out Fractures Involving the Inferomedial Orbital Strut Using a Single Fan-shaped Titanium-Reinforced Porous Polyethylene Plate","volume":"34","author":"Jeong","year":"2023","journal-title":"J. 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Open"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e3537","DOI":"10.1097\/GOX.0000000000003537","article-title":"\u201cTrap Door\u201d Orbital Floor Fractures in Adults: Are They Different from Pediatric Fractures?","volume":"9","year":"2021","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1097\/SCS.0000000000008461","article-title":"Customized and Navigated Primary Orbital Fracture Reconstruction: Computerized Operation Neuronavigated Surgery Orbital Recent Trauma (CONSORT) Protocol","volume":"33","author":"Consorti","year":"2022","journal-title":"J. Craniofacial Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/15\/4968\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:21:24Z","timestamp":1760127684000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/12\/15\/4968"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,28]]},"references-count":19,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2023,8]]}},"alternative-id":["jcm12154968"],"URL":"https:\/\/doi.org\/10.3390\/jcm12154968","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,28]]}}}