Repair of Orbital Blow-out Fractures With Nasoseptal Cartilage

The goals of reconstruction in orbital blow‐out fractures are to restore floor continuity, provide support of orbital contents, and prevent fibrosis of soft tissues. Although ease of use has popularized alloplasts, autogenous material provides greater biocompatibility and results in low rates of inf...

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Bibliographic Details
Published in:The Laryngoscope 1998-05, Vol.108 (5), p.645-650
Main Authors: Lai, Amy, Gliklich, Richard E., Rubin, Peter A.D.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Cartilage - transplantation
Child
Enophthalmos - etiology
Female
Humans
Male
Medical sciences
Middle Aged
Nasal Septum - transplantation
Orbital Fractures - surgery
Postoperative Complications
Reconstructive Surgical Procedures - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Transplantation, Autologous
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Description
Summary:The goals of reconstruction in orbital blow‐out fractures are to restore floor continuity, provide support of orbital contents, and prevent fibrosis of soft tissues. Although ease of use has popularized alloplasts, autogenous material provides greater biocompatibility and results in low rates of infection, extrusion, and migration. Nasoseptal cartilage is an easily accessible, abundant, autogenous source that provides support to the orbital floor and minimal donor site morbidity. Thirteen patients who presented with orbital blow‐out fractures underwent reconstruction with nasoseptal cartilage. Follow‐up at 3 months to 4 years shows one patient with persistent manifest enophthalmos requiring further augmentation. There were no recipient or donor site complications. Nasoseptal cartilage is an underutilized and superior material for reconstruction of orbital blow‐out fractures.
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-199805000-00004