Orbital Fracture Repair

Seanna Grob; Marc Yonkers; Jeremiah Tao

doi:10.1055/s-0037-1598191

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2017; 31(01): 031-039
DOI: 10.1055/s-0037-1598191

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Orbital Fracture Repair

Authors

Seanna Grob

¹Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Gavin Herbert Eye Institute, University of California, Irvine, California
Marc Yonkers

¹Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Gavin Herbert Eye Institute, University of California, Irvine, California
Jeremiah Tao

¹Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Gavin Herbert Eye Institute, University of California, Irvine, California

Abstract

Orbital fractures are very common after facial trauma. The assessment of a patient with a suspected orbital wall injury includes a detailed oculofacial examination as well as radiologic imaging. Surgical repair with or without an implant may be indicated for diplopia, enophthalmos, or both. Cicatricial eyelid malposition is an iatrogenic complication commonly due to poor orbitotomy technique. Optimal repair involves direct exposure of the perimeter of the fractures' site through surgical planes that minimally scar the eyelids. A wide variety of implant options exist; however, thin, pliable, nonadherent materials such as nylon foil may offer several advantages. The authors describe the evaluation and management of orbital wall fractures.

Keywords

orbit fracture - orbital floor - medial orbital wall - orbit implant - blow-out - enophthalmos - entrapment

Full Text

References

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