Functional Duality of a Silicone Sheet during Intraorbital Surgery as a Retractor Supplement and a Template

Intraorbital surgery, including orbital wall repair, often requires surgeons to work in a confined surgical space, obstructed by overhanging tissue and exudate. Conventional retractors, used to maintain an accessible surgical working space, are not always effective in overcoming these challenges. Moreover, excessive retraction to obtain sufficient space in the surgical field can cause oculocardial reflexes and trauma. Here, we report the effective use of silicone sheets during intraorbital procedures as a spacer to maintain sufficient surgical space and as a template to shape reconstructive materials in two illustrative cases. The use of silicone sheets served as a surgical template and spacer, resulting in smooth procedures for both case reports.