Fibrin Sealant-Assisted Fixation of an Autologous Iliac Bone Graft in Orbital Floor Reconstruction

Orbital floor fractures can lead to enophthalmos and diplopia, often requiring surgical intervention to restore orbital volume. Autologous iliac bone grafts are commonly used due to their biocompatibility and mechanical stability, but achieving adequate fixation remains a challenge. Traditional fixation methods, such as plates and screws, may introduce risks of foreign body reactions, graft displacement, and surgical morbidity. This case report describes a novel technique utilizing fibrin tissue adhesive for the fixation of an autologous iliac bone graft in a 50-year-old male with post-traumatic enophthalmos associated with orbital floor fracture. The graft was harvested from the anterior ilium and positioned subperiosteally, with fibrin tissue adhesive providing the sole fixation method. Postoperatively, enophthalmos significantly improved and diplopia fully resolved. No complications such as infection, graft displacement, or ocular motility restrictions were observed. This case highlights the potential of fibrin sealant as an effective alternative for securing orbital bone grafts, offering a minimally invasive, biocompatible, and stable fixation option.