Cyanoacrylate fixed silicone sheet in medial blowout fracture repair

Indications for medial blowout fracture repair may include persistent diplopia due to entrapped orbital contents or enophthalmos. In such cases a barrier must be placed along the medial orbital wall to prevent recurrence of entrapment and to minimize enophthalmos. Firm fixation of these barriers may be technically difficult. In seven patients silicone sheets were fixed in place along the medial orbital wall with butyl-2-cyanoacrylate cement. These patients have done well postoperatively with a mean time since surgery of 21 months.