orbital floor fracture repair

Blow-out fractures can occur through one or more of the orbital walls. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required.

Orbital Blowout Fracture

Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated.

. Appropriate timing is based on the clinical exam and imaging. In patients with both orbital floor and medial wall fractures reconstruction of both walls resulted in an absence of enophthalmos while in those in whom the medial wall was not. 40 silk sutures are placed through the lower eyelid at the level of the tarsus.

Can be without clinical evidence of extraocular muscle entrapment OPRS 2009. Surgical Technique 10-12 Surgical approaches to the orbital floor 10. Timing of orbital floor fracture repair surgery is critical as orbital and cheekbone.

The time to treatment. Orbital floor fracture repair might be indicated in this setting for small or medium sized defects. Forced ductions are checked which are shown to be restricted in supraduction.

Loss of vision associated with surgical treatment of zygomatic-orbital floor fracture. Indications for Surgical Repair 9 Immediate 9 Early repair - 5 to 10 days 9 Observation 9 Section IV. The timing and requirements for surgical repair of pure orbital floor fractures has been long debated.

While some orbital fractures do not require surgery large fractures or fractures that cause enophthalmos or diplopia do necessitate a surgical procedure. Literature reviewed A MEDLINE literature review was performed using PubMed. Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor.

Surgical Repair of an Orbital Blowout Fracture. This video demonstrates repair of a left orbital floor fracture. Oculocardiac reflex bradycardia and nausea from traction on orbital contents with significant herniation of orbital contents.

Nonresolving oculocardiac reflex the white-eyed blowout fracture and early enophthalmos or hypoglobus are indications for immediate surgical repair. Urgent surgical repair is indicated in the case of white-eyed blowout fractures with incarcerated muscle tissue within. Besides the traditional approaches for the repair of orbital fractures have several disadvantages visibility of the approach risk of ectropion.

Orbital floor fracture repair surgery is most frequently performed with an open technique in which skin incisions or incisions within the lining of the eyelid are necessary. Surgery within 2 weeks is recommended in cases of symptomatic diplop. Many surgeons elect for semi-delayed or late repair.

The indications and timing for fracture repair are still controversial. To prevent scarring and increase the procedures success rate an orbital. Therefore this study investigated the outcomes of implant surgery for inferior orbital wall fractures by comparing three groups according to the time interval between the injury and surgery.

Plast Reconstr Surg 198168949919. There are various options for treatment of orbital wall fractures most of which are dependent on severity of trauma changes in vision and location of fracture. A lateral canthotomy is then performed with a 15 blade followed by an inferior.

101055b-0039-173358 31 Orbital Floor Blowout Fracture RepairNicholas Mahoney Summary Orbital floor blowout fractures commonly occur as a result of blunt trauma to the orbit. Often the fracture occurs in the orbital floor or medial wall. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done.

Diplopia enophthalmos and infraorbital nerve hypoesthesia may result. An endoscopic trans-maxillary approach for the repair of orbital blow fractures has recently been described with a considered advantage. A retrospective study by Kronig et al indicated that good functional and aesthetic results can be achieved 1 year after the repair of pure orbital floor fractures with autogenous bone.

Inferior floor medial wall lamina papyracea superior roof lateral wall. Informed Consent Orbital Floor Fracture Repair Surgery Page 1 of 11 _____ Patient Initials 2012 American Society of Plastic Surgeons INSTRUCTIONS This is an informed-consent document that has been prepared to help inform you about orbital floor fracture repair surgery its risks as well as alternative treatments. The bones around the eye form the walls and floor sides and bottom.

A retrospective review was conducted of patients medical charts and initial computed tomography images from 2009 to 2020. The timing and treatment indications for orbital floor fractures are evolving. Complications associated with alloplastic implants used in orbital fracture repair.

Repair of orbital floor fracture 2. What to Know About an Orbital Socket Fracture. Minor fractures that do not include damage to the eye pain or significant cosmetic change are generally observed without further intervention.

International Journal of Surgery Case Reports. Articles published from 1983 to the present were retrieved using the key words orbital floor fracture orbital trap-door fracture and orbital blow-out fracture Suggested indications and timing. Early decompression is favorable for neural restitution.

Most literature supports a 2-week window. Visual loss complicating repair of orbital floor fractures. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures.

Nicholson DH Guzak SW. Orbital blow-out fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact. Clinical PresentationOrbital Examination 4-8 Orbital floor fractures 4 Initial examination of orbital trauma 4-8 Ocular alignment motility 7 Section III.

Some orbital floor fractures may be minor and not require operative treatment. The orbital eye socket is a set of bones that surround and protect your eye.

Scarless Orbital Floor Fracture Repair Youtube