Orbital Floor Fracture Repair Complications

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 fracture repair complications. Head face med. Avoiding complications in the repair of orbital floor fractures. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Diplopia of pediatric orbital blowout fractures.
However the nasal side and the floor of the socket is paper thin in many regions. 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. A retrospective study of 83 patients classified by age groups. The possible loss of vision is the most ominous complication associated with floor repair.
Orbital floor fracture repair complications. The aim of this study was to report our experience about the repair of the orbital floor fractures and new technical findings. Jama facial plast surg. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required.
Some of these complications include the very things that surgery is intended to avoid. Su y shen q lin m et al. Fractures of the orbital floor are common. Treatment for orbital fracture comprises of surgery in severe cases and ice packs rest and antibiotics in mild fractures.
Vision loss double vision globe malposition hypoesthesia and lid malposition. Management of orbital floor fractures is still debated and controversial. Orbital floor fractures can result in severe aesthetic and functional complications if inappropriately managed. So it gives us greater pause to do surgery without strong indications he said.
In the literature there are many conflicting reports about classifications type of implant materials and ideal time to perform surgery. Orbital fracture is a breakage in the bone in the eye socket which can involve the rim the floor or even both. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. As with any surgical procedure bleeding infection and the need for additional surgery are risks.
Repair of an orbital floor fracture by the transconjunctival technique and the use of porous polyethylene implant stabilized with cyanoacrylate glue has many advantages including simplicity of the technique excellent structural. Orbital floor fractures short and intermediate term complications depending on treatment procedures.