A retrospective study that compares between reconstruction of orbital floor fractures with Titanium mesh and cartilaginous graft

Abstract

rbital floor fractures are of the commonest maxillofacial injuries nowadays due to increased incidence of interpersonal violence and road traffic accidents. Although they are not themselves life threatening, they may be associated with intracranial or ocular injuries that require emergency management. They are usually part of complex mid-facial trauma and can be managed by different specialists. A high incidence of orbital blowout fractures associated with or without ocular and intracranial injury emphasizes the importance of a thorough physical examination, so accurate preoperative assessment, and early definitive reconstruction are indicated to ensure the best aesthetic and functional outcomes. The mechanism of fractures is not fully understood so different theories were put to figure out an explanation of it. The buckling & the hydraulic mechanisms are the most accepted theories, which mainly depend on the amount of force & pressure applied to the orbit & its way of transmission until it affect the weakest point of the orbit, so the most affected part is the orbital floor as it is the thinnest bone of the orbit.