Posttraumatic orbital defect correction with bone autografts

Abstract

The aim of the study was the assessment of safety of posttraumatic orbital defect correction with bone autografts. The study comprised 69 patients divided in 2 groups: 21 patients with isolated orbital floor and medial wall deformities and 48 patients with complex midface injuries. Membranous bone autografts were used for deformities correction along with soft tissues hypercorrection with a mix of bone chips and platelet rich plasms. The paper presents diagnostic algorithm for orbital trauma patients. Correction of complex midfacial injuries in group 2 resulted in restricted ocular mobility and increase in diplopy square. Subciliary approach caused lower lid retraction deteriorating esthetic results of the surgery. Ocular vessels hemodynamics showed improvement 1 year after surgery.