Bony reconstruction in the orbital region.

The author discusses the various problems that can arise in the static or dynamic state in the eyeball, the eyelids, and the lacrymal canals--due to alterations of the bony orbit. Reconstruction techniques in the orbitomaxillomalar, orbitonasal, and frontoorbital regions are dealt with separately, with emphasis on the need for a global and primary solution to all the alterations. Particular attention is payed to some cases of fibrous dysplasia in the frontoorbital region that were treated with reimplantation of the same dysplasic bone after it was remodeled. This is a personal technique that is suggested as an alternative treatment for this kind of lesion.