Orbital Floor Reconstruction Surgery

Getting orbital reconstruction surgery done by the right surgeon.

Orbital floor reconstruction surgery. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. The goal of secondary reconstruction procedures is to restore symmetrical globe positions to recover function and aesthetics. Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated. The other option is to use the preformed orbital plate.

He prefers to measure the size of the fracture in two dimensions and the degree of fragment displacement on ct scan. Orbital reconstruction surgery is a challenging and highly technical surgery and must only be carried out by an experienced oculoplastic surgeon to attain best surgical outcomes. The authors propose a new method of orbital floor reconstruction using a mirroring technique and a customized titanium mesh printed using a direct metal laser. The purpose of this study was to review materials used in orbital floor reconstructive surgery at the department of maxillo facial surgery of university of rome la sapienza with emphasis on their biocompatibility their shaping features and mechanical properties.

The anterior antral wall bone is the ideal implant material for the reconstruction of orbital floor defects in the severely injured patient. Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor. The bone is thin and membranous and possesses characteristics that are similar to those of the bone of the orbital floor. A blowout fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact.

Variables studied included age sex trauma to surgery time lag surgeon fracture type length of surgery antibiotics prosthesis. Orbital reconstruction is very difficult when the transition areas between the orbital floor and the medial wall is missing. In my view that s a rather arbitrary measurement for example see the two fractures in fig. Under these circumstances the surgeon may reconstruct the defect using two separate plates one for the medial wall and one for the orbital floor.

This report presents the results obtained by the application of these. Orbital exenteration may be reserved for those tumors that encroach on the intraorbital contents in which more conservative surgery would violate oncologic margins or yield a. 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. Enophthalmos is a severe complication of primary reconstruction of orbital floor fractures.

When it is about getting orbital reconstruction surgery it is a good idea to trust the best. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required. Some surgeons say that 50 percent involvement of the orbital floor or wall is an indication for surgery dr.