Reconstruction of orbital floor fractures seeks to restore the integrity of the orbital floor, provide support of orbital contents, prevent enophthalmos, extraocular muscle entrapment, diplopia, and vision loss. For this purpose, surgeons have the choice among autogenous grafts, implants, and numerous biomaterials. The ideal material for implantation would be nonimmunogenic, easily implantable, facile, easily shaped, long-lasting, economical, and easily removable if unsatisfactory placement occurred. In recent years, alloplastic materials, such as high-density porous polyethylene, silicone, silastic, and titanium mesh, have gained popularity because of their availability and ease of use. Despite the attractiveness of these implants, no one implant is deemed perfect.
The SupraFOIL Smooth Nylon Foil (S. Jackson Inc, Alexandria, Va) implant is available as an individually packed sterile 4 × 4-cm square piece of smooth clear nylon foil of varying thicknesses ranging from 0.05 to 2 mm.
Maxillofacial computed tomography scan in coronal plane at the level of the midorbit showing a left orbital floor blowout fracture (A) prereduction and (B) postreduction using the SupraFOIL (S. Jackson Inc, Alexandria, Va) implant.
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