title: Reconstruction of orbital fractures with dehydrated human dura mater.
abstract: OBJECTIVE
  The best method for reconstructing the fractured orbital floor remains controversial. This article evaluates the usefulness of dehydrated human dura mater for orbital floor reconstruction after facial trauma.
  
  
  METHODS
  A retrospective analysis of 55 patients who had undergone surgical repair of orbital fractures was performed. The dura mater was used when the disruption was less than 2 cm in diameter. Fractures were divided into 3 types: type I (blow-out), type II (orbitozygomatic fracture), and type III (midfacial fracture). The patients were followed-up at least 1 year after surgery, and the cosmetic and functional results were reviewed.
  
  
  RESULTS
  A 7% complication rate was noted. No implant migration or infection resulted. One year postsurgery, all patients showed a complete resolution of their diplopia.
  
  
  CONCLUSIONS
  The safety and biocompatibility of dehydrated human dura mater support its use in orbital defects less than 2 cm in diameter.
authors: Department of Oral & Maxillofacial Surgery, University Hospital La Princesa, Autonoma University, Madrid, Spain. maxmferm@excite.com
authors: M F
authors: MF
authors: Guerra
authors: J S
authors: JS
authors: Pérez
authors: F J
authors: FJ
authors: Rodriguez-Campo
authors: L N
authors: LN
authors: Gías
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D003890:Desiccation; D004172:Diplopia / Q000209:etiology; D004388:Dura Mater / Q000637:transplantation*; D015841:Enophthalmos / Q000209:etiology; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015835:Ocular Motility Disorders / Q000209:etiology; D009917:Orbital Fractures / Q000150:complications / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D014021:Tissue Preservation / Q000379:methods; D016896:Treatment Outcome; D014754:Violence