Orbital Floor Fracture Reconstruction

Tripod fractures can also be associated with orbital floor fractures but with a different mechanism.

Orbital floor fracture reconstruction. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. Repair is typically via a transconjunctival approach with complete reduction of the orbital contents from the fracture site and placement of an alloplastic implant. Early decompression is favorable for neural restitution. The repair of the orbital floor fractures is not without risks which must be taken into consideration when surgery is decided as a treatment of choice.

The patient understood and wanted to proceed with exploration and reconstruction of left orbital floor blowout fracture with split calvarial bone graft. 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. 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. A significant facial asymmetry imaging evidence of the fracture the age of the patient and clinical signs and symptoms are extremely important in determining the surgical indications.

Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated. Fractures of the orbital floor are common. Egbert je may k kersten rc kulwin dr. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required.

When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. The patient was explained the risks complications benefits alternatives including the risks of bleeding infection scarring injury to nerve. A blowout fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact. Orbital fractures of this size have a high incidence of subsequent significant enophthalmos.

Orbital floor fracture repair complications. Clinical recommendations for repair of isolated orbital floor fractures. The possible loss of vision is the most ominous complication associated with floor repair. As with any surgical procedure bleeding infection and the need for additional surgery are risks.

Under these circumstances the surgeon may reconstruct the defect using two separate plates one for the medial wall and one for the orbital floor. The other option is to use the preformed orbital plate. Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor.