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StudyThe Journal of craniofacial surgery · 2026

Clinical Evaluation and Pitfalls of Orbital Floor Reconstruction Using Super FIXSORB: A Single-Center Retrospective Observational Case Series of 20 Patients.

Yuma Ando, Hiroki Naganishi, Tomoki Okuyama … Ayato Hayashi

OphthalmologyStudy

Bone fragments migrated toward the implant plate after orbital floor reconstruction with Super FIXSORB.

Clinical Evaluation and Pitfalls of Orbital Floor Reconstruction Using Super FIXSORB: A Single-Center Retrospective Observational Case Series of 20 Patients.

Yuma Ando … Ayato Hayashi

The Journal of craniofacial surgery · 2026

Background

Orbital floor fractures impair ocular function and often need surgical repair.

Purpose

This study aimed to evaluate the clinical course and key pitfalls following orbital floor reconstruction using Super FIXSORB, focusing on motility recovery, bone remodeling, and diplopia.

Methods

We retrospectively reviewed 20 patients with isolated orbital floor fractures who underwent reconstruction with Super FIXSORB at one center.

n = 20 patients

Results

5.40

mm to 1.21 mm

gap between drifting bone fragments and the implant plate shrank sharply

n = 20 patients

More results

Super FIXSORB, a bioresorbable u-HA/PLLA composite, offers osteoconductivity and strength.

The mean 30-degree HESS score improved from 0.765±0.18 to 0.949±0.09.

Sixteen patients achieved HESS >0.85 within 2 months postoperatively, and none worsened.

Globe position on computed tomography stayed within ±2 mm in all patients.

“

Conclusion

Still, clinicians should note that favorable HESS scores may not fully predict diplopia resolution, especially with muscle entrapment.

Post

Clinical Evaluation and Pitfalls of Orbital Floor Reconstruction Using Super FIXSORB: A Single-Center Retrospective Observational Case Series of 20 Patients.

Bone fragments migrated toward the implant plate after orbital floor reconstruction with Super FIXSORB.

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