orbital floor fracture repair complications

We report our experience with the repair of the orbital floor fractures and present new technical findings. Orbital floor fracture is a common facial injury associated with potential anatomical and functional complications.

Orbital Fracture Orbital Blow Out Orbital Trauma

C Cordoba H Ciaburro G Frenette.

. 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. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. Figure 1 Preoperative coronal A and sagittal B computed tomography of the head with the bone algorithm showing a comminuted blowout fracture involving the right orbital floor that approximately measures 086 cm 15 cm 1 cm in maximum orthogonal dimensions which was associated with fat herniation inferior rectus muscle entrapment soft tissue swelling and.

Management is pharmacologic plus surgical decompression. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos. Jordan DR St Onge P Anderson RL Patrinely JR Jeffrey A Nerad MD.

As with any surgical procedure bleeding infection and the need for additional surgery are risks. Early decompression is favorable for neural restitution. Complications associated with alloplastic implants used in orbital floor fracture repair.

However data on postoperative outcomes are lacking and single-institution studies limit the applicability of their. The possible loss of vision is the most ominous complication associated with floor repair. A preoperative examination by computed tomography.

Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. Symptoms may include diplopia motility restriction pain and globe malposition. Orbital floor fracture of greater than 50 andor causing symptomatic complications.

Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. An unusual late complication. Patients with inferior rectus incarceration or entrapment require more emergent repair with age further directing interventional timing.

Long term complications of orbital floor fracture repair. Orbital floor fracture. An uncommon vision-threatening complication of orbit and eyelid surgery.

Three patients developed unilateral proptosis 13 16 and 20 years after repair of blow-out fracture with orbital floor Teflon implants. Orbital fractures have a distinct trauma mechanism and are complex due to the complex anatomy of the bony and soft tissue structures involved. In one patient trauma preceded the onset of proptosis.

Patients with inferior rectus incarceration or entrapment require more emergent repair with age further directing interventional timing. Orbital floor fracture repair complications. To optimize functional and aesthetic results a stepwise analysis of the.

Symptoms may include diplopia motility restriction pain and globe malposition. Can J Plast Surg 200195183192. Orbital floor fracture of greater than 50 andor causing symptomatic complications.

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. The inferior rectus muscle or orbital tissue can become entrapped within the fracture. Since it was first described by Smith and Regan 1 in 1957 the management of orbital fractures has continuously evolved.

Fractures of the orbital floor and the medial orbital wall blowout fractures are common midface injuries. No significant difference in post-op complications for patients undergoing repair by plastic ENT surgeon. Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury.

Knowledge of anatomy is mandatory when dealing with patients presenting with trauma to the orbit. PurposeTo search for complications of orbital floor fracture repair that occur late postoperatively. Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor.

Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications. CAS Article Google Scholar. In all three cases the cause of the proptosis was probably hemorrhage of the capillaries in a fibrous capsule that surrounded the implant and.

CAS Article Google Scholar. 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. Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated.

To optimize functional and aesthetic results a.

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