orbital floor fracture repair complications

Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. The findings suggest that orbital floor fracture repair is a safe procedure and management by plastic or ENT surgeons yields similarly low rates of postoperative complications the authors write.

Orbital Fracture Repair Plastic Surgery Key

Large fractures of the orbit may result in sunken eye appearance after swelling resolves.

. A study by Jacobs et al indicated that in patients with multiple facial fractures undergoing orbital floor repair a 645 chance exists that a. 2 infection of the foreign body implant. The procedure is designed and tailored to the specific patients injury.

Concomitant medial orbital wall fracture can increase risk of progressive enophthalmos. Holtmann H Eren H Sander K Kubler NR Handschel J. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more.

Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons. Orbital floor fracture. IMMEDIATE REPAIR - Huge fracture occupying 50 of floor - Vertical diplopia within 30 of primary gaze and down gaze - Enophthalmos 2mm - Hypoglobus with facial asymmetry - Combined floor and medial wall fracture - Inferior rectusorbital muscle entrapment.

An unusual late complication. As with any surgical procedure bleeding infection and the need for additional surgery are risks. The orbital floor which forms the roof of the maxillary sinus slopes upward toward the apex of the pyramid which lies roughly 44 to 50 mm posterior to the orbital entrance 34.

Fractures of the orbital floor are common. Orbital floor fractures due to their complex anatomy physiology and aesthetic concerns pose complexities regarding management. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required.

To characterize the patient. Many fractures of the orbit a common occurrence with facial trauma never require surgery which is customarily performed in patients with restricted motility diplopia and enophthalmos. During the management of floor fractures the clinician should keep in mind the following question.

Three patients developed unilateral proptosis 13 16 and 20 years after repair of blow-out fracture with orbital floor Teflon implants. CAS Article Google Scholar. Orbital floor fracture repair is complex and postoperative complications are common.

This complicated anatomy makes repair and reconstruction of. Informed Consent Orbital Floor Fracture Repair Surgery 2012 American Society of Plastic SurgeonsPurchasers of the Informed Consent Resource CD are given a limited license to modify documents contained herein and reproduce the modified version for use in the Purchasers own practice only. The possible loss of vision is the most ominous complication associated with floor repair.

Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Jordan DR St Onge P Anderson RL Patrinely JR Jeffrey A Nerad MD.

A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. 1 implant migration anteriorly towards the anterior orbital rim with prolapse of orbital tissue or posteriorly against the optic nerve to cause loss of vision.

Eye socket fractures most commonly occur on the floor of the socket the most vulnerable area. Head Face Med. The trans-antral approach is a reliable approach for the treatment of orbital floor fractures.

248-250 1987 Complications of orbital floor fracture repair that relate directly to the alloplastic implant include. It is estimated that about 10 of all facial fractures are isolated orbital wall fractures the majority of these being the orbital floor and that 30-40 of all facial fractures involve the orbit. A variety of applicable surgical techniques and technologies are available to surgeons so data about which of these may decrease postoperative complication rates can help better guide clinical decision making.

Orbital floor fracture repair complications. Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications. Appropriate timing is based on the clinical exam and imaging.

Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. A direct impact to the face when playing sports during a fight or in an auto accident can fracture the bone. The eye socket is typically repaired by reinforcing the fractured area with a synthetic implant.

The findings suggest that orbital floor fracture repair is. Clinical or CT evidence - White eye blowout fracture Paeds 16 years old. Orbital floor fractures--short- and intermediate-term complications depending on treatment procedures.

It is accomplished intraorally without visible scarring. Orbital fracture repair surgery is usually performed within a few weeks of the injury. What is the cause of diplopia after surgical repair of an orbital floor fracture.

Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons. Large fracture 50 of orbital floor on CT scan indicates that enophthalmos is likely to occur. Orbital floor fracture repair might be indicated in this setting for small or medium sized defects.

While there is usually intense pain when the impact occurs many orbital fractures quickly recover and may not have much pain at all. A variety of applicable surgical techniques and technologies are available to surgeons so data about which of these may decrease postoperative complication rates can help better guide clinical decision making. Orbital floor fracture repair is complex and postoperative complications are common.

Orbital Reconstruction For Orbit Orbital Floor Fracture