Pure orbital blowout fractures reconstructed with autogenous bone grafts: functional and aesthetic outcomes

S A J Kronig, R J G van der Mooren, E M Strabbing, L H M Stam, J A S L Tan, E de Jongh, K G H van der Wal, D Paridaens, M J Koudstaal

Research output: Contribution to journalArticleResearchpeer-review


The purpose of this study was to investigate the ophthalmic clinical findings following surgical reconstruction with autogenous bone grafts of pure blowout fractures. A retrospective review of 211 patients who underwent surgical repair of an orbital fracture between October 1996 and December 2013 was performed. Following data analysis, 60 patients who were followed up over a period of 1 year were included. A solitary floor fracture was present in 38 patients and a floor and a medial wall fracture in 22 patients. Comparing preoperative findings between these two groups, preoperative diplopia and enophthalmos were almost twice as frequent in the group with additional medial wall fractures: diplopia 8% and 14% and enophthalmos 18% and 55%, respectively. One year following surgery there was no diplopia present in either group. In the solitary floor fracture group, 3% still had enophthalmos. It can be concluded that at 1 year following the repair of pure orbital floor fractures using autogenous bone, good functional and aesthetic results can be obtained. In the group with both floor and medial wall fractures, no enophthalmos was found when both walls were reconstructed. When the medial wall was left unoperated, 29% of patients still suffered from enophthalmos after 1 year.

Original languageEnglish
Pages (from-to)507-12
Number of pages6
JournalInternational Journal of Oral and Maxillofacial Surgery
Issue number4
Publication statusPublished - Apr 2016


  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bone Transplantation/methods
  • Esthetics
  • Female
  • Humans
  • Male
  • Middle Aged
  • Orbital Fractures/surgery
  • Postoperative Complications
  • Reconstructive Surgical Procedures/methods
  • Treatment Outcome


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