Introduction: Several treatment options are available for the optimal treatment for orbital fractures, depending on aesthetic and functional results after orbital wall reconstruction. The objective of this study is to compare the effect and safety of large orbital fl oor fractures with titanium mesh combined with poly-L-lactic acid/polyglycolic acid copolymer implants (Lactosorb®) vs. autologous costochondral graft. A wide range of permanent and biodegradable materials have been used successfully for orbital fl oor reconstruction, however they present with disadvantages for reconstruction of large defects, even if combined. Results: Follow up of 21 patients (12 weeks) 17 male, 4 female, ages 22-63 was made. Enophthalmos, main objective of this study, was identifi ed with statistical signifi cance presenting 0% (n=0) post-op Group B patients and 30% (n=3) for Group A (p=0.049). Statistical signifi cance was found referring to inpatient days between two groups being less for costochondral reconstruction patients (p=0.02). No pain in patients undergoing alloplastic surgery. An interesting result was that donor area analogue pain scale for costochondral graft was 2.9/10.
Patients and Methods
Conclusion:Surgical outcome and complications where evaluated comparing different materials for orbital fl oor reconstruction. Costochondral graft is a suitable choice when orbital reconstruction is indicated.