[Fractures of the floor of the orbit. A critical study of methods of repair].
Based on a personal series of 160 cases of surgically treated closed orbital floor fractures, the authors discuss the various reconstruction procedures and their respective indications. Emphasis is placed on surgical access and osteoplasty techniques. In this series, both cutaneous upper eyelid (127 patients) and transconjunctival approaches (33 cases) were used. Access through the upper eyelid gave the fewest complications; transconjunctival surgery was reserved for pure "blow-out" fractures. Several materials were tested for osteoplasty: conventional techniques included Silastic sheets (112 cases), corticospongiosal bone grafts (16 cases), and lyophilized dura mater (9 cases); new techniques included use of resorbable thermoplastic sheets (23 cases). Choice of a material depends on the size of the defect to be filled. Thin Silastic sheets are the ideal solution for small defects. Bone grafts are reserved for extensive losses of substance.
Camuzard
J F
JF
Service de Chirurgie Cervico et Maxillo-Faciale, Centre Antoine-Lacassagne, Nice.
Raspaldo
H
H
Santini
J
J
Vaille
G
G
Demard
F
F
D000328:Adult; D016025:Bone Transplantation; D005069:Evaluation Studies as Topic; D006801:Humans; D008722:Methods; D009917:Orbital Fractures / Q000473:pathology / Q000601:surgery*; D019736:Prostheses and Implants; D012887:Skull Fractures / Q000601:surgery*
Les fractures du plancher de l'orbite. Etude critique des procédés de réparation.