Controversies in orbital reconstruction

Abstract

The goal of orbital reconstruction is to repair wound injuries, anatomically correct the eye location, prevent enophthalmos and restore ocular function. Many surgeons recommend materials for the reconstruction of (trauma) defects which can be bent into an anatomical shape and which possess the properties of radio pacificity and long-term stability. However the ideal material for orbital reconstruction remains controversial apart from these desired properties. Autologous bone is often referred to as the' gold standard,' probably due to its mechanical properties, the potential for revascularisation and its adaptation to the orbital tissue with minimal acute and chronic immune reactivity. The aim of this analysis is to provide a comprehensive overview of the benefits and disadvantages of materials used to repair traumatic orbital defects and to provide a realistic set of guidelines based on evidence and complexity.