orbital floor fracture complications
Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required. Surgery may be required in some patients to drain orbital abscess or to drain the paranasal sinuses in nonresolving cellulitis.
Common Fracture Sites Of Blowout Fracture Of Orbit Red Line Most Download Scientific Diagram
Orbital fractures have a distinct trauma mechanism and are complex due to the complex anatomy of the bony and soft tissue structures involved.
. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done.
Orbital blow-out fractures are usually the result of a direct blow to the orbit which causes a sudden increase in intraorbital pressure. Complications 15-16 Technique guide. There were 190 of patients who showed postoperative complications.
Complication of the surgery are directly related to the severity of the orbital fracture. 17 rows orbital cellulitis. All patients whose last chart review indicated ongoing complica-.
Orbital floor fracture repair complications. Routine antibiotic prophylaxis has not been proven to prevent orbital cellulitis or abscess formation. Severe pain with limited horizontal and vertical movements can be indicative of more severe orbital hemorrhage or edema.
Patient with Orbital Fracture has abnormally flat-appearing cheek and there also may be severe pain in the cheek when the patient tries to open hisher mouth. Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. The possible loss of vision is the most ominous complication associated with floor repair.
Decompression then occurs by fracture of one or more of the bounding walls of the orbit. 3 Enophthalmos may result when large orbital floor fractures occur and orbital contents prolapse into the maxillary sinus. Orbital Floor Fractures Technique Guide Editor.
There are displaced comminuted fractures in the right orbit floor with orbital fat and inferior rectus muscle herniation within the fracture defect remarkable postseptal intraconal more in nasal side emphysema and right lower lid subdermal emphysema. Intraoperative bleeding excessive dissection of the orbit posteriorly or deep insertion of the implant can cause impingement on the orbital apex or retrobulbar hematoma possibly resulting in vision loss. Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications.
As with any surgical procedure bleeding infection and the need for additional surgery are risks. 58 suffered from persisting motility impairment 37 from enophthalmos 32 from consistent diplopia 26 from ectropion and 05 from orbital. For orbital floor reconstruction polydioxanone sheets 705 were mainly used followed by Ethisorb Dura 233 and titanium mesh 62.
There may be cuts on the eyelid and on the internal surface of the eye. Orbital Floor Fractures Table of contents Table of contents Orbital Anatomy Clinical Presentation Indications for Surgical Repair. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.
Orbital cellulitis is a rare but serious complication of orbital fractures. Late complication of orbital floor fracture repair with implant. Patients with ocular or orbital injuries may present with pain in and around the orbit bruising swelling bleeding from lacerations and facial numbness and may complain of changes in vision.
Recognized sequelae of orbital floor fractures include enophthalmos diplopia from extraocular muscle dysfunction entrapment ischameia haemorrhage or nerve injury and infraorbital nerve. Fractures of the orbital floor and the medial orbital wall blowout fractures are common midface injuries. Common complications are postoperative edema chemosis ecchymoses blurry vision discomfort and.
Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos. Knowledge of anatomy is mandatory when dealing with patients presenting with trauma to the orbit. A 7-year old male who suffered a right hemifacial contusion trauma with clinical and tomographic diagnosis of right pure blowout type orbital floor fracture with inferior rectus muscle entrapment and right post-traumatic palpebral ptosis.
Successful surgical reconstruction was performed 7 days later with a pre-constructed bone. Patient with Orbital Fracture may see flashing lights or floaters in the injured eye. The long term complications of orbital floor fracture repair and because for most cases outpatient follow-up seldom lasted more than five years usually about one year addi-tional information was gathered by a telephone survey.
The inferior rectus muscle or orbital tissue can become entrapped within the fracture. To optimize functional and aesthetic results a stepwise analysis of the surgical procedure is. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye.
The findings suggest that orbital floor fracture repair is. Although the causative trauma is usually substantial presentation and diagnosis may be delayed. Ocular or orbital injury types.
These injuries may require only observation or surgery spanning from simple to complex.
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