Orbital Floor Fracture Surgery Indication

Indications for repair of the orbital floor in these cases are the same as those for indirect blowout fractures.

Orbital floor fracture surgery indication. A pure orbital floor fracture involving more than 50 of the floor with orbital tissue prolapse usually results in significant enophthalmos 2 mm. We help you select the appropriate treatment of orbit orbital floor fracture located in our module on midface. 1 department of ophthalmic plastic and reconstructive surgery the new york eye and ear infirmary new york new york usa. Evaluation indications approach and pearls from an ophthalmologist s perspective.

In my view that s a rather arbitrary measurement for example see the two fractures in fig. Large orbital floor fractures ie those with radiologic evidence of significant displacement or comminution of more than 50 of the orbital floor with prolapse of. Lelli gj jr 1 milite j maher e. Variables studied included age sex trauma to surgery time lag surgeon fracture type length of surgery antibiotics prosthesis.

Direct fractures of the orbital floor can extend from fractures of the inferior orbital rim. These 2 findings indicate the need for timely. A blowout fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact. 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.

Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required. Indirect fractures of the orbital floor are not associated with fracture of the inferior orbital rim. Indications are as follows.