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Clinical Challenges
December 1998

Selection of Materials for Orbital Floor Reconstruction

Author Affiliations


Arch Otolaryngol Head Neck Surg. 1998;124(12):1398-1401. doi:10.1001/archotol.124.12.1398

When a blowout fracture with a clinically significant orbital floor defect is repaired, autologous material is preferable for the orbital floor graft.

A clinically significant orbital floor defect will be defined as a gap remaining after reduction or elevation of orbital floor fracture fragments that requires a semirigid implant to avoid postoperative enophthalmos or orbital dystopia. Therefore, this definition excludes small defects (<5 mm in width) where Gelfilm (Pharmacia and Upjohn Inc, Kalamazoo, Mich) or fascia could be used without the need for rigid or semirigid support of the orbital contents.

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