Blow out orbital fracture reconstruction with using autogenous cancellous iliac bone graft, a modified technique

ABSTRACT

Twenty-three patients were having blow out orbital fractures. All of these cases were evaluated clinically and radiologically. Exploration of the orbital floor was indicated. The orbital floor was explored through either infra-orbital or blepharoplasty incision or through the traumatic wound; the defect in the orbital floor was reconstructed by cancellous bones graft harvested from the iliac bone. The results showed that using the cancellous iliac bone graft minimized the postoperative limbing, pain and markedly reduced the hypoesthesia of the lateral cutaneous nerve of the thigh. The second important advantage is the fact that being rapidly revascularized, there is no need for over correction with its temporary discomfort to the patient