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[Autogenous bone transplants in repair of the traumatically damaged orbit. Functional and esthetic results in 42
R Dempf1, R Gockeln, H P Schierle
1Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Medizinische Hochschule Hannover, Carl-Neubergstrasse 1, 30625 Hannover.
Background:
Autogenous bone transplantation is a well established aspect of craniofacial traumatology. This study evaluated functional and esthetic success in repairing traumatically damaged orbits by autogenous bone transplantation.
Patients And Methods:
We repaired 102 osseous orbital defects by autogenous bone transplantation, 98 by calvarium split graft and 4 by iliac crest transplant. Of 42 surgical patients 34 were followed up.
Results:
Autogenous bone transplants have proven themselves for repair of traumatically damaged orbits. Calvarium split grafts are particularly suitable for this purpose. Good esthetic and functional results can usually be achieved with primary osseous defect repair. However, more protracted functional defects can often no longer be helped.
Conclusion:
Autogenous bone transplants can be broadly recommended for providing primary care.