orbital floor fracture repair
Orbital floor fractures are among the most common facial fractures and patients and surgeons often ask when the patient can resume normal activities after surgical treatment. 101055b-0039-173358 31 Orbital Floor Blowout Fracture RepairNicholas Mahoney Summary Orbital floor blowout fractures commonly occur as a result of blunt trauma.
Orbital Floor Fracture Repair Subciliary Incision Oculoplastic Eyesurgeryvideos Net
The timing and treatment indications for orbital floor fractures are evolving.
. The posterior wall of. There were eighty patients who underwent orbital floor fracture repair with the described technique and had adequate follow-up. Initial diplopia is the most common consequence after orbital floor fracture repair with a reported prevalence of up to 86.
The most common location for an orbital fracture was a floor fracture 480 followed by a medial wall fracture 252. Most cases of initial diplopia resolve after a few. Clinical PresentationOrbital Examination 4-8 Orbital floor fractures 4 Initial examination of orbital trauma 4-8 Ocular alignment motility 7 Section III.
The assessment of a patient with a suspected orbital wall injury includes a detailed oculofacial examination as well as radiologic. Nonresolving oculocardiac reflex the white-eyed blowout fracture and early enophthalmos or hypoglobus. Synthetic prostheses were tailored to the orbital floor in.
Orbital fractures are common presentation in the head and neck trauma centers. There were 18 225 small-sized fractures 32 40. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done.
And even if surgery is needed there may be no rush. They can result in functional and esthetic problems. Many fractures of the orbit never require surgery.
More commonly titanium meshes porous polyethylene sheets or. This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.
Sometimes waiting yields better outcomes. The primary goal in the repair of the. What is fracture of orbital floor.
The focus should really be on understanding the mechanisms of diplopia and enophthalmos in orbital floor fractures the. 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. Orbital fractures are very common after facial trauma.
In the past the focus has often been on early versus late repair. The orbital floor fracture must be completely exposed especially the posterior edge of the fracture to ensure that all herniated or entrapped tissue has been freed.
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