Orbital Floor Fracture Repair Surgery

This video is assisted by surg.

Orbital floor fracture repair surgery. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival. Step by step live surgical video showing repair in a case of orbital floor fracture with entrapment of inferior rectus muscle. Fractures to the inferior.

The inferior wall or orbital floor is formed by the upper jawbone maxilla part of the cheek bone zygomatic and a small part of the hard palate palatine bone. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. 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. The eye may be proptotic or enophthalmic depending on the amount of edema causing proptosis and the size of the fracture larger fractures leading to enophthalmos.

Orbital fracture is a breakage in the bone in the eye socket which can involve the rim the floor or even both. 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. Titanium meshes and bone grafts are radiopaque. Tripod fractures can also be associated with orbital floor fractures but with a different mechanism.

Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. 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. Orbital blowout fractures are usually observed for 5 10 days to allow swelling and orbital hemorrhage to subside. The majority of blowout or other orbital floor fractures do not require surgical intervention.

Selection of patients for surgery and timing of repair.