[Orbital floor reconstruction with autologous periosteum transplant].
BACKGROUND
Various implants (silicon, teflon, titanium, polydioxanone, etc.) and transplants (dura, nasal septum, wall of the maxillary sinus) are used to stabilize the fractured orbital floor. Some of these methods have disadvantages with respect to hygiene, infection, or rejection.


METHODS
In four patients, the fractured orbital floor was stabilized with autologous periosteum from the mastoidal region.


RESULTS
This graft is easy to obtain; the procedure is sterile, gives good cosmetic results, and is cost effective.


CONCLUSIONS
Autografts are regarded as the material of choice in reconstructive surgery. For the reconstruction of the orbital floor, we suggest the use of a free periosteal flap from the mastoidal region. The risk of infection by virus or prion is excluded, rejection is unlikely, and the method is cost effective.
Dost
P
P
Universitäts-Hals-Nasen-Ohren-Klinik Essen.
D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D009917:Orbital Fractures / Q000473:pathology / Q000601:surgery*; D010521:Periosteum / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods / Q000473:pathology; D014182:Transplantation, Autologous