Repair of orbital floor fractures with absorbable gelatin film.

Many materials have been utilized for the repair of orbital floor fractures. Absorbable gelatin film is a bioabsorbable sheeting material that is manufactured from denatured collagen. This material is appropriate for the repair of smaller orbital floor defects (5 mm or less) and trapdoor-type fractures; it is used with larger defects as an interpositional graft material between the periorbital tissues and as an orbital floor reconstruction plate or mesh. Sixteen cases consisting of both types of defects were retrospectively examined clinically and radiographically. Satisfactory results were obtained in all of these cases, including no adverse ocular signs or implant rejection, good facial form, good function, and acceptable postoperative radiography results.