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Post-traumatic orbital floor reconstruction with nasoseptal cartilage in children
Mordechai Kraus1, Albert Gatot, Daniel M Kaplan
1Department of Otolaryngology, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Insights
Nasal septal cartilage effectively repaired orbital floor defects in children after facial trauma. This accessible autogenous material offers a viable option with minimal donor site issues for traumatic orbital reconstruction.
Area of Science:
- Otolaryngology
- Ophthalmology
- Pediatric Plastic Surgery
Background:
- Orbital floor fractures often necessitate grafts or implants for repair.
- Both autogenous and alloplastic materials are utilized for orbital reconstruction.
- Pediatric orbital floor defects present unique challenges in management.
Purpose of the Study:
- To evaluate the efficacy of nasal septal cartilage for repairing orbital floor defects in children.
- To assess the outcomes of using autogenous nasoseptal cartilage in pediatric facial trauma cases.
Main Methods:
- Prospective review of three pediatric patients with orbital floor disruption due to facial trauma.
- Surgical intervention involved open reduction with rigid fixation of facial fractures.
- Reconstruction of the orbital floor was performed using nasoseptal cartilage grafts.
Main Results:
- Successful restoration of orbital floor continuity was achieved in all cases.
- One patient experienced persistent mild enophthalmos post-operatively.
- No significant donor site morbidity was reported for the nasoseptal cartilage graft.
Conclusions:
- Nasoseptal cartilage is a readily accessible autogenous material for orbital floor reconstruction.
- It presents minimal donor site morbidity, making it a favorable option for pediatric patients.
- Consideration of nasoseptal cartilage is recommended for traumatic orbital floor defects in children.
Objective:
Repair of orbital floor fractures may require the placement of a graft or implant. Both autogenous and alloplastic materials have been used for this purpose. This article reports the use of nasal septal cartilage for the repair of orbital floor defect secondary to blunt facial trauma in children.
Methods:
Three children with disruption of the orbital floor after facial trauma were included in this prospective review. All children underwent open reduction with rigid fixation of the facial fractures and reconstruction of the orbital floor with nasoseptal cartilage.
Results:
All of the cases were successfully treated by restoration of the orbital floor continuity. On follow-up clinical examination, one patient had persistent mild enophthalmus.
Conclusions:
Nasal septal cartilage is a readily accessible autogenous material with minimal donor site morbidity, and should be considered when an autogenous orbital implant is needed for the repair of a traumatic orbital floor defect.