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Updated: Jul 13, 2025

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Modified procedure for reconstructing the inferomedial orbital wall: silicone sheet implantation without surgical
Kosuke Takabayashi1,2, Yohei Maeda3,4, Nobuya Kataoka5
1Department of Otorhinolaryngology, Japanese Red Cross Asahikawa Hospital, Asahikawa City, Hokkaido, Japan.
Background:
Due to the complexity of reconstructing wide inferomedial orbital wall fractures, silicone sheets are the preferred choice of reconstructive material. Nevertheless, it is crucial to remove the silicone sheet postoperatively due to the risk of delayed complications associated with its placement.
Methods:
We developed a procedure in which a silicone sheet implanted in the orbit can be extracted through the nasal cavity by removing the fractured portion of the medial orbital wall.
Conclusion:
This procedure enables the utilization of silicone sheets, which are suitable for intricate orbital reconstruction, without any concerns regarding delayed complications.

