Orbital Floor Blowout Fracture Repair

Ophthal plast reconstr surg.

Orbital floor blowout fracture repair. Intervention within days for some orbital floor fractures. An example of a patient presenting with a right orbital floor blowout fracture. Many fractures of the orbit a common occurrence with facial trauma never require surgery which is customarily performed in patients with restricted motility diplopia and enophthalmos. The timing and requirements for surgical repair of pure orbital floor fractures has been long debated.

Influence of time of repair and fracture size. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Orbital blowout fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact. Orbital blowout fracture or indirect orbital floor fracture.

Jordan dr allen lh white j harvey j pashby r esmaile b. The floor of the eye socket ruptures or cracks resulting in a small hole in the eye socket s floor which can trap some parts of the eye muscles and its surrounding. Surgery on orbital floor fractures. Operative intervention of orbital floor fractures is generally reserved for orbital fracture patterns that produce diplopia or clinically detectable aesthetic deformities.

Most literature supports a 2 week window for repair to prevent fibrosis resulting tissue. The first are isolated orbital floor fractures and the second are also associated with an orbital rim fracture involving other skeletal elements. Epidemiology the blowout fracture is t. 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 floor fractures especially blowout fractures can lead to complications including diplopia paresthesia of the infraorbital nerve and enophthalmos. This is typically caused by a direct blow to the central orbit from a fist or ball. Su y shen q lin m et al. Bruising and limited eye movements secondary to swelling are common clinical presentations top.

Jama facial plast surg. Avoiding complications in the repair of orbital floor fractures. Ct scan demonstrates common findings of a blow out fracture with evidence of a depressed right orbital floor bottom. Zygomatic frontal nasoethmoidal or maxillary bones.

A retrospective study of 83 patients classified by age groups. 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. Orbital floor fractures can be broadly classified as pure or impure blowout fractures. Diplopia of pediatric orbital blowout fractures.