What is an inappropriate material to use for reconstruction of a severe orbital floor fracture with enophthalmos?

In the context of reconstructing a severe orbital floor fracture with associated enophthalmos, the choice of materials is crucial for successful repair. Gelfilm, a product made from absorbable gelatin, is designed primarily for hemostatic purposes and is not suitable for structural support in the delicate environment of the orbit.

When addressing enophthalmos or any significant orbital defect, the reconstruction should focus on materials that offer both stability and durability to restore normal anatomy and function. Bone grafts, silicone implants, or mesh plates are designed to integrate with surrounding tissues and provide the necessary strength to support the globe and restore the orbital volume.

Bone grafts can promote regeneration and integrate well with existing bone, while silicone implants and mesh plates provide rigid support that can withstand the forces experienced in the orbital space. In contrast, Gelfilm's lack of structural integrity and resorption over time make it inadequate for maintaining the necessary orbital architecture following a fracture. Therefore, using Gelfilm would be inappropriate in this scenario.