Orbital Floor Fracture Surgical Technique
Alternately the inferior oblique may be transected near its origin.
Orbital floor fracture surgical technique. 4 depuy synthes matrixorbital surgical technique introduction orbital floor fractures are frequently associated with medial wall fractures. Medical records of 102 patients with pure inferior blowout fractures who were treated between june 1996 and december 2005 were reviewed regarding fracture type and. Some orbital floor fractures may be minor and not require operative treatment. The complex geometry of the bony orbit makes anatomical reconstruction extremely challenging particularly in two wall fractures and when the deep orbital cone is affected.
They fulfilled the following inclusion criteria. In the department of maxillofacial surgery of the federico ii university of naples italy between 2005 and 2007 we observed 44 unilateral fractures of the orbital floor pure and impure. The inferior fornix incision may be extended medially via a transcaruncular incision if needed to provide additional access to the medial wall. This technique has many advantages including simplicity of continue reading.
She had an incarcerated inferior rectus muscle in the fracture causing diplopia in upgaze. 1 clinical diagnosis of an orbital floor defect. Orbital floor fracture repair surgery is most frequently performed with an open technique in which skin incisions are necessary. Timing of orbital floor fracture repair surgery is critical as orbital and cheekbone fractures may heal quickly.
This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival technique in a 10 year old child who had sustained a facial trauma.