orbital floor fracture treatment

In severe fracture of the orbital bone the doctor will refer the patient to plastic and reconstructive surgeon with a. Patients with fractures where the orbital floor fragments are not displaced and the orbital volume remains unchanged can be.

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There are several reasons to repair blowout fractures.

. A conjunctival incision is made with monopolar cautery with a corneal protector in place. Knowledge of anatomy is mandatory when dealing with patients presenting with trauma to the orbit. Assessing reduction and implant.

How Are Orbital Fractures Treated. Surgical management Endoscopic approach. We help you select the appropriate treatment of Orbit orbital floor fracture located in our module on Midface.

Start patients on a combination steroidantibiotic ointment on the wound 4 times per day and have them follow up in 1 week. Autogenous bone from the maxillary wall or the calvaria can be used as can nasal septum or conchal cartilage. Some surgeons will place a drain in the orbit and admit the patient overnight.

Use an observation with possible intervention within 1 to 2 weeks in all other cases of confirmed orbital floor fractures. Sometimes antibiotics and decongestants are prescribed as well. The rim of the socket is made of fairly thick bones while the floor and inner wall of the socket is mostly paper thin.

Orbital fractures have a distinct trauma mechanism and are complex due to the complex anatomy of the bony and soft tissue structures involved. A careful assessment of the orbit injury may include examination of the facial bones eyelids and surrounding soft tissue. If an orbital fracture is small your ophthalmologist may recommend placing ice packs on the area to reduce swelling and allow the eye socket to heal on its own over time.

Orbital floor fractures OFF with entrapment require prompt clinical and radiographic recognition for timely surgical correction. Orbital floor fractures may create visible tactile andor functional deformities due to abnormal healing of the displaced bones around the eye. Subtleties of the position and size of the fracture as well as the age and goals of the patient help the treating surgeon recognize absolute indications and decide on relative indications for surgery.

Orbital floor fracture repair surgery is most frequently performed with an open technique in which skin incisions are necessary. Ice packs for the first 23 days then heat packs. Interest in the endoscopic approach to the floor and medial wall has increased as surgeons try to.

For many orbital fractures surgery is not necessary. The goal of treatment of orbital floor fractures is to support the eye to look and move naturally. A definitive diagnosis is confirmed by.

Sneezing with the mouth open avoidance of nose blowing or vigorous straw usage are necessary for several weeks to prevent further injury. Inpatient Outpatient Medications. In some younger patients the so-called trap-door phenomenon can occur in which there is danger of necrosis of the entrapped rectus muscle within a few hours.

Some orbital floor fractures may be minor and not require operative treatment. Then orbital fractures can be appropriately diagnosed and repaired. Timing of orbital floor fracture repair surgery is critical as orbital and cheekbone fractures may heal quickly.

Concomitant orbital and maxillofacial fractures are repaired in a particular sequence. Inspection of the globe. A broad-spectrum antibiotic is used postoperatively in elderly or immune-compromised patients along with analgesics of choice.

Most orbital floor defects can be repaired with synthetic implants composed of porous polyethylene silicone metallic rigid miniplates Vicryl mesh resorbable materials or metallic mesh. A systematically and thoroughly obtained history and physical examination are most important in the evaluation of the traumatized patients. We reviewed the clinical radiographic and intraoperative findings of 45 cas.

The extent of injury. Correct CT radiographic interpretation of entrapped fractures can be subtle and thus missed. Usually there is no need for emergency treatment in orbital floormedial wall fractures unless there is severe ongoing hemorrhage in the orbital cavity the paranasal or nasal cavity.

Immediate release of entrapped. Instructions to call the surgeon ASAP at any hour if uncontrolled bleeding or vision loss is experienced. The cutaneous approach commences with a skin-muscle flap elevation via an incision 2-3 mm below the.

Orbital fractures are traumatic injuries usually caused by assault sports or accidents. Use an observation with possible intervention within 1 to 2 weeks in all other cases of confirmed orbital floor fractures. Patients with fractures where the orbital floor fragments are not displaced and the orbital volume remains unchanged can be.

All orbital floor fractures should be repaired via a transconjunctival approach. In many cases orbital fractures do not need to be treated with surgery. After the identification and treatment of life-threatening injuries ophthalmologists should rule out serious ocular trauma.

Other structures within the face may require treatment as well such as the cheekbones or jaw. Fractures of the orbital floor and the medial orbital wall blowout fractures are common midface injuries. Treatment of Orbital Fracture If there is blowout fracture which is small and uncomplicated then only ice packs decongestants and an antibiotic for.

Orbital floor fracture surgery Transconjunctival approach. Your ophthalmologist may recommend the use of ice packs to reduce swelling along with decongestants and antibiotics. 1 mobilize obviously entrapped extraocular muscles in cases presenting with positive forced ductions and severe subjective diplopia 2 mobilize a large volume of herniated orbital fat back into the orbit in order to return the globe to its preinjury location in cases where greater than 2mm of enophthalmos and or.

While a lateral canthotomy and inferior cantholysis are often advocated they are unnecessary and can be omitted with no loss of exposure. Orbital floor fracture repair surgery is intended to minimize these potential. The eye socket is a bony opening that surrounds and protects the eye.

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