Autogenic bone grafts in repair of traumatically damaged orbit. Functionaland esthetic results in 42 cases

Background. Autogenous bone transplantation is a well established aspect of craniofacial traumatology. This study evaluated functional and esthetic su ccess in repairing traumatically damaged orbits by autogenous bone transpla ntation. Patients and methods. We repaired 102 osseous orbital defects by autogenous bone transplantation, 98 by calvarium split graft and 4 by iliac crest tra nsplant. Of 42 surgical patients 34 were followed up. Results. Autogenous bone transplants have proven themselves for repair of t raumatically damaged orbits. Calvarium split grafts are particularly suitab le for this purpose. Good esthetic and functional results can usually be ac hieved with primary osseous defect repair. However, more protracted functio nal defects can often no longer be helped. Conclusion. Autogenous bone transplants can be broadly recommended for prov iding primary care.