Orbital Floor Implant Complications

A variety of orbital implants are available.

Orbital floor implant complications. Can j plast surg 2001 9 5 183 192. Because com plications can occur 15 to 20 or more years after implant placement one would have to follow a group of orbital fracture patients for a prolonged period of time to appre ciate the. To search for complications of orbital floor fracture repair that occur late postoperatively to reveal their natural course and to attempt to associate the complications with variables that are possibly involved in their genesis. An unusual late complication of orbital floor fracture repair.

Cho following zmc orbital floor fracture repair and two attempted revisions. 2b postoperative photograph following orbital fracture revision midface lift and lateral canthopexy. Four patients had hemorrhage within the implant capsule. Long term complications related to implants however include implant infection migration.

An orbital abscess developed in a single patient. The overall incidence of complications with orbital floor implant is believed to be low but an exact number cannot be stated for a number of reasons. Isolated orbital floor fracture. This patient was referred to dr.

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 are one of the most common sequelae of facial trauma. This results in laxity of the lower eyelid and a sunken appearance of the upper eyelid. Long term complications of orbital floor fracture repair.

Note significant hyperglobus and lid lateral canthal malposition. The objective of this study was to summarize published data for resorbable implants in orbital reconstruction including polymer composition degradation characteristics osteoconductivity and complications such as enophthalmos diplopia and peri implant inflammation. Orbital floor fracture also known as blowout fracture of the orbit. Implant size duration of time between trauma and implant insertion and history of prior orbital surgery were examined as possible risk factors for the development of complications.

In one patient trauma preceded the onset of proptosis. A spherical orbital implant is usually placed after enucleation because an anophthalmic socket will have inadequate soft tissue volume. Most orbital floor defects can be repaired with synthetic implants composed of porous polyethylene silicone metallic rigid miniplates vicryl mesh resorbable materials or metallic mesh. Mauriello ja jr flanagan jc peyster rg.