Cranial Bone Graft for Orbital Floor Reconstruction

C. HariPrasath *, Vinod Narayanan**
Periodicity:January - March'2018

Abstract

The study aimed to evaluate the use of cranial bone grafts in orbital floor reconstruction. Twelve patients with unilateral orbital floor fracture underwent cranial bone graft for the correction of enophthalmos, hypopthalmos, and diplopia. The inclusion criteria were pure blowout fracture of the orbit or impure blowout fracture of the orbit. Preoperative and postoperative CT scans, radiographs, and measurements were recorded. Reconstruction of the orbital floor was done in twelve patients. The period of follow-up and evaluation for the cranial bone graft was 1 week, 3 months, and 6 months. These patients underwent CT scans at a six-month period for evaluation of graft position and uptake. The preoperative enophthalmos in twelve orbital floor fractures varied from 3-6 mm. In this series of twelve orbital floor fractures, the postoperative enophthalmos score was =2mm. Five out of twelve patients in the series had preoperative diplopia, and none had postoperative diplopia at the time of follow-up. Improvement of the eye position and gaze was also found during the checkups. Cranial bone is an accessible autogenous tissue that should be considered when an autogenous graft is needed for orbital floor fracture reconstructions.

Keywords

Cranial Bone Graft, Orbital Floor, Reconstruction, Enophthalmos, Hypopthalmos, Diplopia.

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