This report describes a surgical procedure utilizing a premolded plastic implant for the repair of orbital floor fractures. This plastic floor is inserted subperiosteally through an infraorbital incision, and quite adequately supports the orbital contents. This eliminates the necessity of the Caldwell-Luc component of the "combined procedure" described previously.1,2 The plastic floor is well tolerated, inert, easily sterilized, and readily shaped to conform to the defect at time of surgery.
The problem of orbital floor fractures and their sequelae has been described in the ophthalmic literature for at least 70 years, and the reader is referred to the papers of Lang,3 LeGrange,4 Pfeiffer,5 Smith and Regan,6 Converse and Smith,7,8 and Schjelderup9 for the development of thought concerning the mechanism of production of these fractures. The surgical management of these fractures has been discussed by Moore and Ward,10 Converse,11,12 and
ABRAHAMS IW. Repair of Orbital Floor Defects With Premolded Plastic Implant. Arch Ophthalmol. 1966;75(4):510-512. doi:10.1001/archopht.1966.00970050512014