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Arch Otolaryngol Head Neck Surg. 1998;124:1398-1401.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis:

When a blowout fracture with a clinically significant orbital floor defect is repaired, autologous material is preferable for the orbital floor graft.

BACKGROUND

A clinically significant orbital floor defect will be defined as a gap remaining after reduction or elevation of orbital floor fracture fragments that requires a semirigid implant to avoid postoperative enophthalmos or orbital dystopia. Therefore, this definition excludes small defects (<5 mm in width) where Gelfilm (Pharmacia and Upjohn Inc, Kalamazoo, Mich) or fascia could be used without the need for rigid or semirigid support of the orbital contents.

Fractures involving the orbit are relatively common in individuals with facial trauma because of the prominence of the globe and periorbital region. Inadequate reduction and reconstruction can result in substantial disturbances in function and appearance if the preinjury eye position has not been restored. Treatment of orbital floor fractures aims to prevent long-term sequelae, especially enopthalmos, persistent diplopia, and . . . [Full Text of this Article]

PRO

CON

BOTTOM LINE

CONCLUSIONS



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