{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T11:02:30Z","timestamp":1780398150070,"version":"3.54.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T00:00:00Z","timestamp":1651708800000},"content-version":"vor","delay-in-days":2500,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002649","name":"Yeungnam University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002649","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:p>\nBackground  Reconstruction of combined orbital floor and medial wall fractures with a comminuted inferomedial strut (IMS) is challenging and requires careful practice. We present our surgical strategy and postoperative outcomes.<\/jats:p><jats:p>\nMethods  We divided 74 patients who underwent the reconstruction of the orbital floor and medial wall concomitantly into a comminuted IMS group (41 patients) and non-comminuted IMS group (33 patients). In the comminuted IMS group, we first reconstructed the floor stably and then the medial wall by using separate implant pieces. In the non-comminuted IMS group, we reconstructed the floor and the medial wall with a single large implant.<\/jats:p><jats:p>\nResults  In the follow-up of 6 to 65 months, most patients with diplopia improved in the first-week except one, who eventually improved at 1 year. All patients with an EOM limitation improved during the first month of follow-up. Enophthalmos (displacement, 2 mm) was observed in two patients. The orbit volume measured on the CT scans was statistically significantly restored in both groups. No complications related to the surgery were observed.<\/jats:p><jats:p>\nConclusions  We recommend the reconstruction of orbit walls in the comminuted IMS group by using the following surgical strategy: usage of multiple pieces of rigid implants instead of one large implant, sequential repair first of the floor and then of the medial wall, and a focus on the reconstruction of key areas. Our strategy of step-by-step reconstruction has the benefits of easy repair, less surgical trauma, and minimal stress to the surgeon.<\/jats:p>","DOI":"10.5999\/aps.2015.42.4.424","type":"journal-article","created":{"date-parts":[[2015,7,21]],"date-time":"2015-07-21T08:21:54Z","timestamp":1437466914000},"page":"424-430","source":"Crossref","is-referenced-by-count":26,"title":["Combined Orbital Fractures: Surgical Strategy of Sequential Repair"],"prefix":"10.1055","volume":"42","author":[{"given":"Su Won","family":"Hur","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sung Eun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyu Jin","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun Ho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Gon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1804-9086","authenticated-orcid":false,"given":"Yong-Ha","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,5,5]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1097\/00002341-200209000-00007","article-title":"The inferomedial orbital strut: an anatomic and radiographic study","volume":"18","author":"JW Kim","year":"2002","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"ref2","first-page":"252","article-title":"Endoscopic orbital decompression with preservation of an inferomedial bony strut: minimization of postoperative diplopia","volume":"28","author":"ED Wright","year":"1999","journal-title":"J Otolaryngol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1097\/00006534-199906000-00005","article-title":"Pure orbital blowout fracture: new concepts and importance of medial orbital blowout fracture","volume":"103","author":"JS Burm","year":"1999","journal-title":"Plast Reconstr Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1097\/PRS.0b013e3181f95cfd","article-title":"Inlay implanting technique for the correction of medial orbital wall fracture","volume":"127","author":"YH Kim","year":"2011","journal-title":"Plast Reconstr Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1097\/01.iop.0000242163.03589.0e","article-title":"Combined inferior and medial surgical approaches and overlapping thin implants for orbital floor and medial wall fractures","volume":"22","author":"GW Su","year":"2006","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/00002341-199901000-00012","article-title":"Porous polyethylene channel implants: a modified porous polyethylene sheet implant designed for repairs of large and complex orbital wall fractures","volume":"15","author":"JC Choi","year":"1999","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/IOP.0b013e3181788de8","article-title":"Nylon foil \"wraparound\" repair of combined orbital floor and medial wall fractures","volume":"24","author":"WR Nunery","year":"2008","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1055\/s-0033-1343785","article-title":"Combined orbital floor and medial wall fractures involving the inferomedial strut: repair technique and case series using preshaped porous polyethylene\/titanium implants","volume":"6","author":"RI Cho","year":"2013","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1097\/SCS.0b013e3181abb44b","article-title":"Accuracy and predictability in use of AO three-dimensionally preformed titanium mesh plates for posttraumatic orbital reconstruction: a pilot study","volume":"20","author":"P Scolozzi","year":"2009","journal-title":"J Craniofac Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"480","DOI":"10.5999\/aps.2014.41.5.480","article-title":"Three-dimensional pre-bent titanium implant for concomitant orbital floor and medial wall fractures in an East asian population","volume":"41","author":"KM Lee","year":"2014","journal-title":"Arch Plast Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1097\/01.IOP.0000062848.26273.E5","article-title":"Computer-assisted orbital volume measurement in the surgical correction of late enophthalmos caused by blowout fractures","volume":"19","author":"X Fan","year":"2003","journal-title":"Ophthal Plast Reconstr Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1080\/01676830500182838","article-title":"Use of enophthalmic implants in the repair of orbital floor fractures","volume":"24","author":"R Kempster","year":"2005","journal-title":"Orbit"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2015.42.4.424.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,6]],"date-time":"2022-05-06T00:07:45Z","timestamp":1651795665000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2015.42.4.424"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7]]},"references-count":12,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,5,5]]},"published-print":{"date-parts":[[2015,7]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2015.42.4.424","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7]]}}}