Dermis Fat Graft: A Utility Tool for Soft Tissue Augmentation in Orbital Fractures

Abstract

Orbital fractures are common in facial trauma, with an incidence from 18% to 50% of all craniomaxillofacial traumas. Posttraumatic orbital reconstruction has been a challenge for decades in craniomaxillofacial surgery. Complications like enophthalmos, diplopia, and soft tissue deformities are common when orbital trauma occurs, affecting people's daily life as well as their appearance. Advances in technology and research have provided us with a variety of filling materials that we can choose from to handle the bony and soft tissue deformities. Soft tissue augmentation following correction of the orbital volume is important to provide an overall satisfactory treatment. However, the best type of material for the repair of orbital deformities is a controversy and remains a dilemma. In this report, we have used dermis fat graft as a soft tissue filler following orbital trauma, to improve cosmetic and achieve adequate volume enhancement.