orbital floor fracture repair complications

CAS Article Google Scholar. An uncommon vision-threatening complication of orbit and eyelid surgery.

Objectives

This complicated anatomy makes repair and reconstruction of orbital fracture difficult for a novice Fig.

. Symptoms may include diplopia motility restriction pain and globe malposition. 27 2017 HealthDay News For patients undergoing orbital floor fracture repair total operative time and postoperative complications are similar for cases performed by plastic surgeons versus ear nose and throat ENT surgeons according to a. 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.

Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required. The orbital floor which forms the roof of the maxillary sinus slopes upward toward the apex of the pyramid which lies roughly 44 to 50 mm posterior to the orbital entrance 3 4. Management is pharmacologic plus surgical decompression.

Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures.

Describe the treatment and management of orbital floor fractures including potential complications after initial treatment or surgery. To optimize functional and aesthetic results a stepwise analysis of the. We evaluated 30 subjects with pure blowout fractures treated at the Department of Maxillofacial Surgery of the Federico II University of Naples Italy between 2005 and 2007.

Complications associated with alloplastic implants used in orbital floor fracture repair. Orbital floor fracture repair is complex and postoperative complications are common. We report our experience with the repair of the orbital floor fractures and present new technical findings.

A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Can J Plast Surg 200195183192. Long term complications of orbital floor fracture repair.

Orbital Floor Fractures Technique Guide Editor. C Cordoba H Ciaburro G Frenette. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos.

Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. Patients with inferior rectus incarceration or entrapment require more emergent repair with age further directing interventional timing. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.

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. An unusual late complication. CAS Article Google Scholar.

To optimize functional and aesthetic results a. Orbital floor fracture repair is complex and postoperative complications are common. No significant difference in post-op complications for patients undergoing repair by plastic ENT surgeon.

Orbital floor fracture of greater than 50 andor causing symptomatic complications. Retrobulbar hemorrhage causes increased intraorbital pressure and pressure on the accompanying vessels of the optic nerve decreasing blood flow and thus leading to an ischemic optic neuritis. PurposeTo search for complications of orbital floor fracture repair that occur late postoperatively.

The inferior rectus muscle or orbital tissue can become entrapped within the fracture. An unusual late complication. A preoperative examination by computed tomography.

To characterize the patient.

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