orbital floor fracture repair complications

Orbital floor fracture repair is complex and postoperative complications are common. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye.

Surgery Orbital Floor Fracture Repair Simplified Dr Santosh G Honavar Youtube

Recognized sequelae of orbital floor fractures include enophthalmos diplopia from extraocular muscle dysfunction entrapment ischameia haemorrhage or nerve injury.

. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. Orbital floor fracture repair is complex and postoperative complications are common. In one patient trauma preceded the onset of proptosis.

Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated. A variety of applicable surgical techniques and technologies are available to surgeons so data about which of these may decrease postoperative complication rates can help better guide clinical decision making. Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor.

Symptoms may include diplopia motility restriction pain and globe. An uncommon vision-threatening complication of orbit and eyelid surgery. To optimize functional and aesthetic results a stepwise analysis of the.

Reintervention resolved one of three complications. Orbital floor fractures can be broadly classified as pure or impure blowout fractures. The long term complications of orbital floor fracture repair and because for most cases outpatient follow-up seldom lasted more than five years usually about one year addi-tional information was gathered by a telephone survey.

Orbital floor fracture of greater than 50 andor causing symptomatic complications. Figure 1 Preoperative coronal A and sagittal B computed tomography of the head with the bone algorithm showing a comminuted blowout fracture involving the right orbital floor that. The findings suggest that orbital floor fracture repair is a safe procedure.

Of all patients 392 remain with long term unresolved complications. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. Knowledge of anatomy is mandatory when dealing with patients presenting with trauma to the orbit.

Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons. The inferior rectus muscle or orbital tissue can become. Three patients developed unilateral proptosis 13 16 and 20 years after repair of blow-out fracture with orbital floor Teflon implants.

A variety of applicable surgical techniques and technologies are. Early decompression is favorable for neural restitution. In all three cases the cause of the proptosis was probably hemorrhage of the capillaries in a fibrous capsule that surrounded the implant and that was evident on orbital CT.

Fractures of the orbital floor and the medial orbital wall blowout fractures are common midface injuries. Orbital fractures have a distinct trauma mechanism and are complex due to the complex anatomy of the bony and soft tissue structures involved. Retrobulbar hemorrhage causes increased intraorbital pressure and pressure on the.

Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos. Altered vision is more probable with older patients and with longer. Potential complications include incomplete correction of preoperative.

All patients whose last chart review indicated ongoing complica-. The first are isolated orbital floor fractures and the second are also associated with an orbital rim fracture. Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury.

Management Of Orbital Fractures Atlas Of The Oral And Maxillofacial Surgery Clinics Of North America