Orbital floor reconstruction with high density polyethylene

Abstract

Abstract: Surgical interventions in blow out fractures are generally indicated in cases of alterations in orbital function (e.g. diplopia) and for aesthetic reasons (e.g. enophthalmos). In assessing the severity of the injury, the clinician often uses parameters such as changes in visual acuity, patient-reported diplopia, changes in globe position and evaluation of the extraocular muscles in association with imaging exams. Computed tomography has been the modality of choice for detailed imaging diagnosis and surgical planning of orbital trauma. High density polyethylene may be successfully used in orbital floor reconstruction to restore function and esthetics. Taking into account the follow up of six months, the availability and the advantages of high density polyethylene implants, it can be concluded that their use in reconstruction of orbital floor defects is a good choice.