Orbital Floor Fracture Repair Indications

Otolaryngol head neck surg.

Orbital floor fracture repair indications. Endoscopic repair of orbital floor fractures. Compared to adults pediatric orbital floor injuries carry unique mechanistic features and fracture patterns. Urgent indications for fracture repair include the white eyed blow out fracture in children where the fracture site incarcerates the rectus muscle causing possible ischemia. It follows that the prevalence typical presenting signs and symptoms and considerations for management of pediatric orbital floor fractures differ from adults as well.

The coexistence of a floor and medial wall fracture especially with disruption of the maxilloethmoidal strut frequently requires repair in view of the orbital volume expansion. Strong eb kim kk diaz rc. Farwell dg strong eb. A medial wall fracture if associated with the orbital floor fracture may significantly contribute to enophthalmos because of prolapse of the orbital tissues into both the ethmoidal and the maxillary sinuses.

1a with greater displacement and herniation of orbital contents this fracture is much more likely than the other 1b to cause enophthalmos. The most commonly entrapped material following a blowout fracture is orbital fat this alone may lead to decreased up gaze if the orbital floor is involved. The most common muscle to be entrapped by the fracture is the inferior rectus muscle. Download citation update on orbital floor fractures.

Orbital floor fractures both involving more than 50 percent of the floor s surface. For isolated orbital floor fractures our preferred implants are thin porous polyethylene sheets or nylon foil. Indications and timing for repair there has been much discussion and controversy over the management of blowout fractures of the orbit. 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 for repair of isolated orbital floor fractures were extracted from selected articles.