Teflon prosthesis in orbital floor fracture

Abstract

Primary bone grafting is the recommended treatment for orbital floor fractures with bone defects, but this technique has a greater operative morbidity than the simpler use of the Teflon prosthesis. This study evaluates the use of the Teflon prosthesis. In 9 years, 110 patients with 115 orbital floor fractures were treated with Teflon prostheses. Of those, 90 patients had only orbital floor or orbito-zygomatic fractures and 20 had panfacial fractures. The mean operative time was 87 mins. Seventy-seven patients had good results. Complications included diplopia, ectropion, enophthalmia and palpable prosthesis. Seven prostheses required removal between three and 11 months postoperatively. No prosthesis became infected. Orbital floor reconstruction with a Teflon prosthesis is a relatively simple and short procedure associated with a low morbidity, giving good results except in cases of severe floor defects.

Long Term Complications of Orbital Floor Fracture Repair

“…Data based on plastic and ophthalmology consultations were collected in two parts. Charts from 1983 to 1992 were read by an author to study the teflon prosthesis in orbital floor fractures (1). Patient files from 1992 to 1998 were reviewed by another author.…”