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• W2023237318 abstract "Statement of the ProblemMany times, reconstruction of orbital blowout fractures require the use of an autogenous graft or an alloplastic material. This study reports the comparison between the use of autogenous nasoseptum cartilage and the conchal auricular cartilage graft.Materials and MethodsIn this study 22 patients with blowout fractures (pure and impure) were included. Eleven patients were treated with nasal septal cartilage and 11 patients with conchal auricular cartilage graft. They were evaluated for presence or absence of enophthalmos, diplopia, infra orbital nerve dysfunction and ocular muscles restriction. Patient inclusion in this study was based on enophthalmos more than 2mm. Patients with severe trauma and associated facial trauma were excluded from the study.Method of Data AnalysisData were analyzed by paired t-test.ResultsAll of the cases were treated by restoration of orbital wall continuity. There were no donor sites or graft infections or graft extrusion. In each group, 6 patients had impure blow out and five pure blowout fractures. The mean improved enophthalmos in nasal cartilage group showed significantly better, and the residual enophthalmos in auricular cartilage group showed significantly higher. Time of surgical intervention was critical.ConclusionOur analysis showed the nasal septum cartilage is a preferred graft compared with conchal auricular cartilage. It offers larger graft and harvest easier. The use of cartilage graft is limited in selected cases. They can be used in pure blowout and selected impure but should not be considered in restoration of orbital blowout fracture with severe enophthalmos. Time of surgical intervention (the earlier the better) and surgical technique are critical. The mean improved enophthalmos of patients who underwent surgical repair early after trauma showed significantly better. Statement of the ProblemMany times, reconstruction of orbital blowout fractures require the use of an autogenous graft or an alloplastic material. This study reports the comparison between the use of autogenous nasoseptum cartilage and the conchal auricular cartilage graft. Many times, reconstruction of orbital blowout fractures require the use of an autogenous graft or an alloplastic material. This study reports the comparison between the use of autogenous nasoseptum cartilage and the conchal auricular cartilage graft. Materials and MethodsIn this study 22 patients with blowout fractures (pure and impure) were included. Eleven patients were treated with nasal septal cartilage and 11 patients with conchal auricular cartilage graft. They were evaluated for presence or absence of enophthalmos, diplopia, infra orbital nerve dysfunction and ocular muscles restriction. Patient inclusion in this study was based on enophthalmos more than 2mm. Patients with severe trauma and associated facial trauma were excluded from the study. In this study 22 patients with blowout fractures (pure and impure) were included. Eleven patients were treated with nasal septal cartilage and 11 patients with conchal auricular cartilage graft. They were evaluated for presence or absence of enophthalmos, diplopia, infra orbital nerve dysfunction and ocular muscles restriction. Patient inclusion in this study was based on enophthalmos more than 2mm. Patients with severe trauma and associated facial trauma were excluded from the study. Method of Data AnalysisData were analyzed by paired t-test. Data were analyzed by paired t-test. ResultsAll of the cases were treated by restoration of orbital wall continuity. There were no donor sites or graft infections or graft extrusion. In each group, 6 patients had impure blow out and five pure blowout fractures. The mean improved enophthalmos in nasal cartilage group showed significantly better, and the residual enophthalmos in auricular cartilage group showed significantly higher. Time of surgical intervention was critical. All of the cases were treated by restoration of orbital wall continuity. There were no donor sites or graft infections or graft extrusion. In each group, 6 patients had impure blow out and five pure blowout fractures. The mean improved enophthalmos in nasal cartilage group showed significantly better, and the residual enophthalmos in auricular cartilage group showed significantly higher. Time of surgical intervention was critical. ConclusionOur analysis showed the nasal septum cartilage is a preferred graft compared with conchal auricular cartilage. It offers larger graft and harvest easier. The use of cartilage graft is limited in selected cases. They can be used in pure blowout and selected impure but should not be considered in restoration of orbital blowout fracture with severe enophthalmos. Time of surgical intervention (the earlier the better) and surgical technique are critical. The mean improved enophthalmos of patients who underwent surgical repair early after trauma showed significantly better. Our analysis showed the nasal septum cartilage is a preferred graft compared with conchal auricular cartilage. It offers larger graft and harvest easier. The use of cartilage graft is limited in selected cases. They can be used in pure blowout and selected impure but should not be considered in restoration of orbital blowout fracture with severe enophthalmos. Time of surgical intervention (the earlier the better) and surgical technique are critical. The mean improved enophthalmos of patients who underwent surgical repair early after trauma showed significantly better." @default.
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• W2023237318 date "2007-09-01" @default.
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• W2023237318 title "Poster 266: Reconstruction of Orbital Floor Blowout Fractures With Conchal Auricular or Nasoseptal Cartilage Graft: A Comparative Study" @default.
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• W2023237318 doi "https://doi.org/10.1016/j.joms.2007.06.535" @default.
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