orbital floor fracture repair complications

Diplopia was least likely to occur with orbitozygomatic or panfacial fractures and more probable with bone grafts. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.

A Case Of Combined Orbital Floor And Medial Wall Fracture A 44 Year Old Download Scientific Diagram

A variety of applicable surgical techniques and technologies are available to surgeons so data about which of these may decrease postoperative complication rates can help better guide clinical decision making.

. Vision loss double vision globe malposition hypoesthesia and lid malposition. View larger version 334K Fig. Orbital fracture repair may be associated with significant morbidity for patients.

Reintervention resolved one of three complications. Orbital fracture is a breakage in the bone in the eye socket which can involve the rim the floor or even both. All patients whose last chart review indicated ongoing complica-.

Risks and potential complications such as the possibility of visible and palpable malformations and the incorrect position of eyes with resulting functional problems like double vision may be associated with nontreatment of orbital injuries. Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications. Of all patients 392 remain with long term unresolved complications.

Operative intervention of orbital floor fractures is generally reserved for orbital fracture patterns that produce diplopia or clinically detectable aesthetic deformities. However the nasal side and the floor of the socket is paper thin in many regions. 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.

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 optic nerve exits the orbit through the optic foramen located at the superonasal portion of the orbit. The possible loss of vision is the most ominous complication associated with floor repair.

As with any surgical procedure bleeding infection and the need for additional surgery are risks. Some of these complications include the very things that surgery is intended to avoid. Intervention within days for some orbital floor fractures.

INHERENT RISKS OF ORBITAL FLOOR FRACTURE REPAIR. Dacryocystitis Late Complication Of Orbital Floor Fracture Repair Repair Of Medial Orbital Wall Fracture Using A Retrocaruncular Unilateral Mydriasis During. Orbital Floor Fractures Section VI.

ImportanceOrbital floor fracture repair is complex and postoperative complications are common. Complications Complications Surgical complications Vision loss Eyelid retraction Enophthalmos Worsening diplopia Infection or migration of orbital implant Postoperative retrobulbar hemorrhage Inappropriate placement of orbital implant Lower Eyelid Retraction. Altered vision is more probable with older patients and with longer surgeries.

Orbital floor fracture repair is complex and postoperative complications are common. Complications due to the latter may be intraoperative or postoperative and postoperative complications may be early or late. Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons.

Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons. Orbital floor fractures especially blowout fractures can lead to complications including diplopia paresthesia of the infraorbital nerve and enophthalmos. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.

Orbital floor fracture repair complications. Oculoplastic surgeons deal with all the complications resulting from orbital fracture repair. The findings suggest that orbital floor fracture repair is a safe procedure and management by plastic or ENT surgeons yields similarly low rates of postoperative complications the authors write.

14 54-year-old man who underwent left orbital floor fracture repair 1 week prior with orbital emphysema. The inferior rectus muscle or orbital tissue can become entrapped within the fracture. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos.

Subsequent alterations in orbital floor appearance may occur as the result of aging sun exposure or other circumstances not related to orbital floor repair surgery. Jordan DR Allen LH White J Harvey J Pashby R Esmaeli B. Complications may result from the initial trauma or from the surgical repair.

A study by Jacobs et al indicated that in patients with multiple facial fractures undergoing orbital floor repair a 645 chance exists. Repiratory epithelial ingrowth and hemorrhage as late complications of orbital floor fracture repair with silicone sheet implant. Some areas of the orbital floor may heal abnormally or slowly.

Visual loss following fracture repair is generally the result of retrobulbar hemorrhage in the acute presentation that causes orbital compartment syndrome. Treatment for Orbital Fracture comprises of surgery in severe cases and ice packs rest and antibiotics in mild fractures. Areas of skin may die and may require frequent dressing changes or further surgery.

Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. Ophthal Plast Reconstr Surg. So it gives us greater pause to do surgery without strong indications he said.

The findings suggest that orbital floor fracture repair is. Despite its rarity orbital emphysema is an important complication because it can lead to displacement of the repaired fracture infection and even vision loss 45. 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.

Alternative forms of management consist of not treating the orbital floor fractures. To optimize functional and aesthetic results a stepwise analysis of the. Nearly all cases of visual loss following orbital floor fracture repair occur due to elevated pressure in the orbit causing a compartment syndrome either due to orbital hemorrhage or edema compressing the optic nerve.

A variety of applicable surgical techniques and technologies are available to surgeons so data about which of these may decrease postoperative complication rates can help better guide clinical decision making. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye. To optimize functional and aesthetic results a stepwise analysis of the surgical procedure is.

Management Of Orbital Fractures Atlas Of The Oral And Maxillofacial Surgery Clinics Of North America