Orbital Floor Fracture Repair Technique

Egbert je may k kersten rc kulwin dr.

Orbital floor fracture repair technique. 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 support shorter operative time and cost effectiveness. Some orbital floor fractures may be minor and not require operative treatment. To review our technique of endoscopic transantral repair of orbital floor fractures. Clinical recommendations for repair of isolated orbital floor fractures.

This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival. Tripod fractures can also be associated with orbital floor fractures but with a different mechanism. Orbital fractures of this size have a high incidence of subsequent significant enophthalmos. A surgical repair technique is described utilizing a single preshaped porous polyethylene titanium implant to span both defects.

Demographic data surgical outcomes and complications were gathered from available patient charts. Repair is typically via a transconjunctival approach with complete reduction of the orbital contents from the fracture site and placement of an alloplastic implant. Case series with chart review. Orbital floor fracture is one of the most common facial skeleton fractures after mid facial trauma accounting for up to 40 of craniofacial injuries 1 2 patients may complain of ocular symptoms aberration of aesthetic appearance and dysesthesia around the damaged cheek.

Background combined orbital floor and medial wall fractures can be technically challenging to repair particularly when the inferomedial strut is involved. Pediatric orbital floor fracture.