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A.C. Tutela, P.D. Langer; Use of Isobutyl Cyanoacrylate Adhesive for Fixation of Orbital Implants . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5716.
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Purpose: To describe the use of isobutyl cyanoacrylate adhesive to secure porous polyethylene implants in the repair of orbital wall fractures. Methods: A retrospective review of 35 consecutive cases of orbital wall fracture repair, performed over 5 years by one surgeon (PDL), was conducted. In each case, after the fracture was reduced and a porous polyethylene implant placed over the fracture site, several drops of cyanoacrylate adhesive (IsoDent, Ellman International) were applied to the intact bone at the anterior edge of the fracture site, beneath the leading edge of the implant. Downward pressure was then applied to the implant for one minute until the adhesive polymerized and the implant was fixed to the underlying bone. Results: The adhesive was well tolerated by all patients, and no short– or long–term adverse effects were seen. No instances of implant extrusion or of clinically apparent migration were noted. Conclusions: The use of porous polyethylene implants is extremely common in the repair of orbital fractures. Currently, surgeons who prefer to secure these implants frequently drill holes into the orbital bone to allow either screw fixation or suture placement. The use of a cyanoacrylate adhesive to fixate porous polyethylene implants is safe, extremely quick, and cost effective. We recommend the use of cyanoacrylate adhesive as an alternative to titanum screw or suture fixation of porous polyethylene orbital implants.
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