orbital floor fracture repair complications
Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required. Orbital Floor Fractures.
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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.
. 2526 The choice depends as much on surgeon preference as on implant characteristics. The authors report the case and perform a literature review about the use of more modern biomaterials for. Orbital floor fracture repair is complex and postoperative complications are common.
As with any surgical procedure bleeding infection and the need for additional surgery are risks. Note the relatively small amount of herniated tissue and the. Orbital Floor Fractures Technique Guide Editor.
A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Fractures of the floor represent the most common type of orbital wall injury 11 12 and absolute indications for surgical repair include diplopia that fails to resolve after 24 weeks or dynamic muscle entrapmentMore commonly occurring relative indications for surgery include cosmetic considerations such as enophthalmos greater than 2 mm significant hypoglobus. Fractures involving the orbit most commonly affect the.
14152325 Several autologous alloplastic and allogenic materials are available for orbital floor fracture repair. Indirect orbital fractures will only need surgery if another part of the eye has become trapped in the break or if more than 50 of the floor is. So a fine knowledge of silastic sheet complications is needed for young surgeons.
An unusual late complication. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos. Orbital floor fracture repair surgery is most frequently performed with an open technique in which skin.
Orbital floor fracture with significant soft-tissue entrapment a so-called trapdoor fracture. Long term complications of orbital floor fracture repair. Orbital floor fracture repair complications.
Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. Jordan DR St Onge P Anderson RL Patrinely JR Jeffrey A Nerad MD. I have started to worry about my eye and would like to know what my treatment options are for an orbital wall fracture.
C Cordoba H Ciaburro G Frenette. Indications for Surgical Repair Surgical Technique Orbital Implants Post Operative Care Complications. Orbital floor fracture.
Complications associated with alloplastic implants used in orbital floor fracture repair. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. 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.
Orbital floor fractures may occur in isolation blowout fractures or as part of a zygomaticomaxillary complex fracture. 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. Can J Plast Surg 200195183192.
The circular orbit is divided into four walls. The inferior rectus muscle or orbital tissue can become entrapped within the fracture. PurposeTo search for complications of orbital floor fracture repair that occur late postoperatively.
Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. Orbital floor repair with silastic sheet is an old method that no one uses anymore but we still observe cases of late complications with this material. Severe pain with limited horizontal and vertical movements can be.
Illustration depicting the left bony orbit. Complications Complications Surgical complications Vision loss. Orbital Floor Fractures Section VI.
CAS Article Google Scholar. The possible loss of vision is the most ominous complication associated with floor repair. Orbital floor fracture repair complications.
Many fractures of the orbit a common occurrence with facial trauma never require surgery which is customarily performed in patients with restricted motility diplopia and enophthalmos. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye. Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications.
To optimize functional and aesthetic results a. Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. Intraoperative bleeding excessive dissection of the orbit posteriorly or deep.
Early fracture repair is associated with improved outcomes compared with a delayed repair approach within 3 weeks. CAS Article Google Scholar. The most common mistakes and complications in the management of orbital floor fractures are the following.
When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Routine antibiotic prophylaxis has not been proven to prevent orbital cellulitis or abscess formation. 519 Here we reviewed.
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