Orbital Floor Fracture Repair Complications

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. The floor of the eye socket ruptures or cracks resulting in a small hole in the eye socket s floor which can trap some parts of the eye muscles and its surrounding structures. Residual or new onset diplopia neuralgia and extraocular muscle dysfunction are potential complications.

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Orbital Blowout Fracture

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Orbital Fractures

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Orbital floor fractures short and intermediate term complications depending on treatment procedures.

Orbital floor fracture repair complications. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. So it gives us greater pause to do surgery without strong indications he said. Some of these complications include the very things that surgery is intended to avoid. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done.

As with any surgical procedure bleeding infection and the need for additional surgery are risks. Etiology fractures of the orbital floor are common. Oculoplastic surgeons deal with all the complications resulting from orbital fracture repair. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required.

Operative intervention of orbital floor fractures is generally reserved for orbital fracture patterns that produce diplopia or clinically detectable aesthetic deformities. Holtmann h eren h sander k kubler nr handschel j. Orbital floor fracture repair complications. This is a fracture of the paper thin floor of the eye socket with the bony rim surrounding the eye remaining intact.

Vision loss double vision globe malposition hypoesthesia and lid malposition. Orbital blowout fracture or indirect orbital floor fracture. Head face med. A blowout fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact.

Informed consent orbital floor fracture repair surgery 2012 american society of plastic surgeons purchasers 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 purchaser s own practice only. Orbital floor fractures especially blowout fractures can lead to complications including diplopia paresthesia of the infraorbital nerve and enophthalmos. The possible loss of vision is the most ominous complication associated with floor repair.

Orbital Fractures