Abstract

To study the effects of reconstruction of orbital floor defects with autogenous bone, 20 patients with orbital floor fractures were treated via peri-orbital mini-incision, and orbital floor defects were reconstructed with autogenous bone. The results showed that 20 cases recovered well. There was no infection, optic neuropathy, diplopia and enophthalmos. In general, the data of the study suggest that collagen membrane is an ideal material for orbital reconstruction.

Highlights

  • Traumatic defect of orbital floor would lead to facial deformity and dysfunction, including diplopia, eye retraction, eye movement disorders and et al Further, zygomatic complex fractures, maxillary fractures and nasal orbital sieve composite fractures are often accompanied with orbital fracture

  • Since 2013, there were 20 cases of zygomatic complex fractures accompanied with orbital bone defects in our department

  • Complex zygomatic fractures combined with orbital floor defect often induces the content of hernia go into ethmoid or maxillary sinus, making the eye ball move down and leading to diplopia [2, 3]

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Summary

Introduction

Traumatic defect of orbital floor would lead to facial deformity and dysfunction, including diplopia, eye retraction, eye movement disorders and et al Further, zygomatic complex fractures, maxillary fractures and nasal orbital sieve composite fractures are often accompanied with orbital fracture. Once this area is damaged, injuries of patients become complex, making it one of the difficulties in the treatment of facial fractures [1]. Since 2013, there were 20 cases of zygomatic complex fractures accompanied with orbital bone defects in our department. By the reconstruction of orbital bone with autogenous bone (maxillary sinus anterior wall and iliac bone piece), we significantly corrected the deformity and dysfunction, resulted in satisfied clinical effects

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