title: [Bone cement implant as an alternative for orbital floor reconstruction: A case report].
abstract: BACKGROUND
  The management of orbitary fractures is one of the most challenging in facial trauma; the variety of reconstruction materials for its treatment is broad and is constantly improving, but despite this there is no consensus for its use or literature that sustains it.
  
  
  OBJECTIVE
  To present the use and design of a preformed bone implant as an alternative for the reconstruction of orbital floor fractures in the pediatric age group.
  
  
  METHODS
  A 7-year old male who suffered a right hemifacial contusion trauma with clinical and tomographic diagnosis of right pure blowout type orbital floor fracture with inferior rectus muscle entrapment and right post-traumatic palpebral ptosis. Successful surgical reconstruction was performed 7 days later with a pre-constructed bone cement implant. Eight weeks after surgery the patient presented with mild residual palpebral ptosis, no ocular movement limitations and no diplopia.
  
  
  CONCLUSIONS
  The use of a bone cement implant can be considered appropriate for the reconstruction of these fractures, as another alternative to be used by the ophthalmologist among the variety of all the other materials used for this purpose. We consider that our optimism based on the results obtained in this case obligates us to increase the number of patients treated in order to gather more evidence and do larger follow up.
authors.affiliation: Servicio de Oftalmología, Unidad Médica de Alta Especialidad N.° 25, IMSS, Monterrey, Nuevo León, México.
authors.forename: Enrique
authors.initials: E
authors.lastname: Vargas-Solalinde
authors.affiliation: Servicio de Oftalmología, Unidad Médica de Alta Especialidad N.° 25, IMSS, Monterrey, Nuevo León, México.
authors.forename: Marisol E
authors.initials: ME
authors.lastname: Huichapa-Padilla
authors.affiliation: Servicio de Oftalmología, Unidad Médica de Alta Especialidad N.° 25, IMSS, Monterrey, Nuevo León, México.
authors.forename: Daniel
authors.initials: D
authors.lastname: Garza-Cantú
authors.affiliation: Servicio de Traumatología y Ortopedia, Hospital General de Zona N.° 222, IMSS, Toluca, Estado de México, México.
authors.forename: Víctor H
authors.initials: VH
authors.lastname: Reyna-Martínez
authors.affiliation: Servicio de Oftalmología, Hospital Universitario, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México.
authors.forename: Julio
authors.initials: J
authors.lastname: Alatorre-Ricardo
authors.affiliation: Servicio de Oftalmología, Hospital General de Zona N.° 4, IMSS, Monterrey, Nuevo León, México. Electronic address: drjuanluisgonzalez@prodigy.net.mx.
authors.forename: Juan Luis
authors.initials: JL
authors.lastname: González-Treviño
mesh_terms: D001763:Blepharoptosis / Q000209:etiology; D001843:Bone Cements / Q000627:therapeutic use*; D002648:Child; D005151:Facial Injuries / Q000601:surgery; D006801:Humans; D008297:Male; D009917:Orbital Fractures / Q000150:complications / Q000601:surgery* / Q000628:therapy; D019736:Prostheses and Implants; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods*
chemical_list: D001843:Bone Cements
keywords: Blow out; Bone cement; Cemento óseo; Estallamiento; Fractura; Fracture; Orbital floor; Osteosíntesis; Ostheosynthesis; Piso de órbita