AN ACCEPTABLE method of repairing a blowout fracture of the orbital floor is to place a pliable implant (Teflon, Silastic, Supramid, etc) over the fracture site.1 Unless the implant is fixed in position, it is possible for it to migrate over the orbital rim requiring a reoperation for its removal or for repair of the recurrence of the herniation of the orbital contents through the fracture site.2
One method of preventing migration of the implant is to drill a hole in the orbital rim and to suture permanently the implant to the rim.3 A simpler method of fixation, which eliminates the trouble and hazards of drilling a hole as well as the possible reaction to the permanent suture material placed in the rim, is to place a "tongue" of the implant into the anterior aspect of the fracture.
Description of Technique
After fashioning the implant to cover
Smith B, Putterman AM. Fixation of Orbital Floor ImplantsDescription of a Simple Technique. Arch Ophthalmol. 1970;83(5):598. doi:10.1001/archopht.1970.00990030598014