Reconstruction of the orbital fl oor using titanium mesh: A study of three cases

Orbital fractures account for 40% of craniofacial injuries; of the four walls of the orbit, the fl oor, which is extremely thin, is the most frequently injured. According to the pertinent literature, such fractures represent 67-84% of cases of orbital fractures. Orbital fl oor fractures can be broadly classifi ed as pure or impure blowout fractures; the fi rst are isolated orbital fl oor fractures, and the second are also associated with an orbital rim fracture, involving other skeletal elements: zygomatic, frontal, nasoethmoidal, or maxillary bone. The main aim for the reconstruction of the orbital defect was restoration of function, esthetics anatomy, and volume. Each biomaterial has its own merits and demerits, but the most important criteria of a material, is to allow the surgical objectives to be fulfi lled. Orbital reconstruction should separate the orbital contents from the paranasal sinuses and nasal cavity and should prevent enophthalmos and diplopia.