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Orbital Floor and Rim Reconstruction With a Titanium Orbital Implant and Acellular Dermis

Scofield-Kaplan, Stacy M., M.D.; Patel, Sagar Y., M.D.; Mancini, Ronald, M.D., F.A.C.S.

Ophthalmic Plastic & Reconstructive Surgery: January/February 2019 - Volume 35 - Issue 1 - p e19–e21
doi: 10.1097/IOP.0000000000001285
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Reconstruction of the orbital rim and floor following tumor excision is traditionally performed with bone grafts, vascularized grafts, or free flaps. The authors describe a case of an osteosarcoma of the maxillary sinus and a second case of an ossifying fibroma of the orbital floor, both of which required reconstruction of the orbital floor and rim. In both of these cases, reconstruction of the orbital floor and rim was performed with a titanium implant whose anterior portion was bent inferiorly to recreate the orbital rim. Acellular dermis was sutured over the anterior portion of the orbital implant to act as a barrier between the implant and the overlying eyelid tissues.

Orbital floor and rim reconstruction can be performed with an implant that is bent inferiorly to re-create the orbital rim.

Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.

Accepted for publication October 24, 2018.

The authors have no financial or conflicts of interest to disclose.

Meeting presentation: Spring ASOPRS 2018.

Address correspondence and reprint requests to Ronald Mancini, M.D., F.A.C.S., Oculoplastic and Reconstructive Surgery, Department of Ophthalmology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390. E-mail: ronald.mancini@utsouthwestern.edu

© 2019 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.