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<p>Orbital blowout fractures in children are uncommon but clinically significant due to theirunique anatomical characteristics and potential for long-term growth disturbance. Thiscase series presents the use of Osteomesh<sup>®</sup>, a bioresorbable polycaprolactone&#xa0;(PCL)implant, in three pediatric patients aged 5–9 years with inferior orbital wall fractures. Allpatients underwent surgical reconstruction via a mid-tarsal approach, withintraoperative customization of the Osteomesh<sup>®</sup> to the orbital defect. Postoperatively,rapid resolution of diplopia and restoration of ocular motility were achieved within 12weeks. Follow-up imaging confirmed implant resorption and orbital remodeling withoutinfection, asymmetry, or growth interference. Over ten years, all patients maintainedstable orbital volume, facial symmetry, and visual function. These results supportOsteomesh<sup>®</sup> as a safe, effective, and growth-compatible alternative to traditionalpermanent implants in pediatric orbital reconstruction.</p>

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Bioresorbable Osteomesh in Pediatric Orbital Fracture Reconstruction: A Case Series with Long-Term Outcomes

  • 期刊论文

  • 发表日期：

    2026年7月4日

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  • Preeti Athwani,
  • Saruchi Agarwal,
  • Pushkar P. Waknis,
  • Vrinda Rajagopal

摘要

Orbital blowout fractures in children are uncommon but clinically significant due to theirunique anatomical characteristics and potential for long-term growth disturbance. Thiscase series presents the use of Osteomesh®, a bioresorbable polycaprolactone (PCL)implant, in three pediatric patients aged 5–9 years with inferior orbital wall fractures. Allpatients underwent surgical reconstruction via a mid-tarsal approach, withintraoperative customization of the Osteomesh® to the orbital defect. Postoperatively,rapid resolution of diplopia and restoration of ocular motility were achieved within 12weeks. Follow-up imaging confirmed implant resorption and orbital remodeling withoutinfection, asymmetry, or growth interference. Over ten years, all patients maintainedstable orbital volume, facial symmetry, and visual function. These results supportOsteomesh® as a safe, effective, and growth-compatible alternative to traditionalpermanent implants in pediatric orbital reconstruction.