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April 1966

Repair of Orbital Floor Defects With Premolded Plastic Implant

Author Affiliations

Meriden, Conn
From the Ophthalmology Services Meriden and World War II Veterans Memorial Hospitals, Meriden.

Arch Ophthalmol. 1966;75(4):510-512. doi:10.1001/archopht.1966.00970050512014

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.

General Considerations  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

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