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Orbital Floor Fracture Management
23 November 2005 (online)
Orbital floor fractures can occur in isolation or in conjunction with other facial skeletal fractures. They are commonly associated with midface fractures and, in this region, are second only to nasal fractures in occurrence. The integrity of the orbit and its contents must be preserved to prevent complications after alterations secondary to trauma. There is a plethora of literature on different reconstruction methods. Autogenous bone and cartilage grafts from various areas have been used in the reconstruction of the floor. In addition, materials such as high-density porous polyethylene, silicone, and titanium mesh have also been used. Each has its own benefits and limitations. The lack of stabilization and improper posterior placement of the reconstruction implant have caused less-than-ideal repairs. Graft stabilization can be accomplished with titanium screw fixation, and recently the endoscope has facilitated the visualization of the entire defect and helped ensure the proper placement of the implant.
Orbital floor fractures - endoscopic repair
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Edward W ChangM.D.
Director of Facial Plastic Surgery Education, Department of Otolaryngology-Head and Neck Surgery
Columbia University, 180 Fort Washington Avenue, Harkness Pavillion 818, New York, NY 10032