Shady A. Hassan Sameh A. Darwish And Tarek M. Aly,

ABSTRACT


Introduction: The Orbital Blowout Fracture Is A Common Facial Injury, Carrying With It A Risk Of Visual Impairment And Undesirable Cosmetic Results Unless Treated Properly. Optimal Timing Of The Surgical Treatment, Material Used In Orbital Floor Reconstruction And Surgical Approach Used Are All Still Debate.
Objectives: We Aimed In This Study To Evaluate The Conchal Cartilage Graft Clinically And Radiologically In Reconstruction Of Orbital Floor Defects In Ten Patients.

Materials and Methods: Ten Adult Patients With Orbital Floor Blowout Fractures Were Included In The Study, Either Isolated Orbital Floor Fracture Or Associated With Other Facial Fractures The Decision To Proceed Surgically Was Based On The Presence Of At Least One Of The Following Conditions: Diplopia, Enophthalmos, Herniation Of Orbital Tissues Through Gaps In The Orbital Floor Bone, And Concomitant Displacement Of Bone Fragments Of The Inferior Orbital Rim. Auricular Cartilage Was Used With Access To The Orbital Floor Was Via Infraorbital Incision In All Cases.

Results: Patients Were Followed Up Over A Period Of Three Months To Check Competent Reconstruction Of Orbital Floor, And Donor Site Function And Aesthetics. Only One Patient Suffered From Wound Dehiscence And Another Suffered From Mild Seroma Otherwise The Remaining Patients Showed Uneventful Healing Without Complications. Conclusion: The Use Of Auricular Cartilage Has Wide Application For Small To Moderate Orbital Floor Defects. The Conchal Graft Is Easy To Harvest. It Provides An Optimal Support Function For The Globe With Minimum Donor-site Morbidity. A Graft Of Adequate Size Ensures Adequate Stability.