Introduction: The purpose of this study was to evaluate the advantages and limitations of using fibrin glue for securing bioresorbable panel to reconstruct the fractured orbital floor by a transantral approach.
Subjects and Method: A retrospective study was conducted from July 2009 to July 2015 in thirty-five patients with pure orbital floor fractures. Nineteen patients underwent reduction surgery for inserting a bioresorbable panel and sixteen patients underwent reduction surgery using fibrin glue for securing bioresorbable panel via a transantral approach. In both groups, a chart review of preoperative and postoperative ocular symptoms, operation records, and complications was maintained.
Results: There was no significant difference between two groups in the demographic data of patients. Comparing the surgical outcomes between two groups, diplopia and mean discrepancy between fractured bone chip and intact orbital floor based on computed tomography (CT) scans showed much better result in bioresorbable panel secured by fibrin glue group than bioresorbable panel only group. Furthermore, revision operations were carried out in six cases in bioresorbable panel only group. We carried out reoperation on those cases and the main cause was dislocation of bioresorbable panel. On the other hand, in bioresorbable panel secured by fibrin glue group, there were no reoperation and postsurgical complications.
Conclusion: During the course of the study, we sensed orbital floor fracture repair using bioresorbable panel secured by fibrin glue via a transantral approach as an easy and effective technique with good postoperative results, and minimal implant related complications. This novel procedure is recommended as a surgical option for the reduction of orbital floor fractures, especially in large and posterior fractures.