Effectiveness of Treatment of Orbital Floor Blowout Fractures with Autologus Iliac Crest Graft: A Report on 14 Cases

The treatment of orbital floor fractures is still controversial with regard to indications and time of surgery, 1 access, and reconstruction techniques. Inadequate treatment of fractures involving one or more orbital walls usually results in functional and/or aesthetic disorders such as diplopia and enophthalmos, both due to herniation of the orbital contents and increase in the volume of the orbital cavity. Thus the treatment goal must always be to prevent these anatomic and dysfunctional defects, by restoring the original shape and volume of the orbit, so as to ensure correct positioning of the globe. These may be achieved by interposing an autologous graft or a biomaterial between the residual orbital floor and the soft tissues prolapsed into the maxillary sinus, suitably repositioned inside the orbit.