orbital floor fracture complications

There is swelling and black and blue discoloration around the injured eye due to fracture orbital bone. Large fracture 50 of orbital floor on CT scan indicates that enophthalmos is likely to occur.

Orbital Fracture Repair Plastic Surgery Key

Immediately after an orbital floor fracture the affected eye may have impaired motility resulting in double vision.

. Results One of four complications often more than one per eye resolved without surgery. We report here another case of unusual late complication of orbital floor fracture repaired 25 years ago. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.

Orbital fracture patterns Orbital Floor. The infraorbital nerve courses the length of the orbital floor. The inferior orbital wall or orbital floor forms the roof of the maxillary sinus.

Altered vision diplopia dysesthesia ectropion pain infection enophthalmos and extrusion. 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. The eye may be proptotic or enophthalmic depending on the amount of edema causing proptosis and the size of the fracture larger fractures leading to enophthalmos.

This is typically caused by a direct blow to the central orbit from a fist or ball. Cohen SM Garrett CG. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye.

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. Clinical PresentationOrbital Examination Orbital Floor Fractures Most common type of orbital fracture Thin maxillary bone medial to infraorbital neurovascular bundle Bone is 05mm thick Orbital rim is often spared Blow-out fractureIndirect fracture Orbital floor fracture with intact rim Hydraulic pressure from globe compression. Nauseavomiting as signs of entrapment.

58 suffered from persisting motility impairment 37 from enophthalmos 32 from consistent diplopia 26 from ectropion and 05 from orbital infection. 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. Otolaryngol Head Neck Surg 2003.

Occurrence and resolution data were collected. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos.

Concomitant medial orbital wall fracture can increase risk of progressive enophthalmos. Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. There were 190 of patients who showed postoperative complications.

Allison JR Kearns A Banks RJ. The inferior rectus muscle or orbital tissue can become entrapped within the fracture resulting. Orbital floor fracture repair is complex and postoperative complications are common.

Direct extraocular muscle involvement. Immediately after an orbital floor fracture the affected eye may have impaired motility resulting in double vision. There also may be redness and patches of bleeding on the sclera the white part of the eye and on the eyelids inner lining.

These variables were tested for association with the following complications. The subciliary approach has been associated with a much higher complication rate with ectropion resulting in approximately 129 of cases50the subtarsal approach is associated with less ectropion and if placed appropriately should not result in a conspicuous scar 135153most surgeons prefer the transconjunctival approach to the orbital. The problem with orbital blowout fractures is that the volume of the orbit can be increased resulting in enophthalmos and hypoglobus.

To characterize the patient. Patient has decreased vision double vision or blurry vision due to fractured orbital bone. In addition the orbital tissue and inferior rectus muscle can become trapped by the bony fragments.

HealthDayFor patients undergoing orbital floor fracture repair total operative time and postoperative complications are similar for. The eye may be proptotic or enophthalmic depending on the amount of edema causing proptosis and the size of the fracture leading to enophthalmos. Orbital exploration and its potential complications can be avoided in the majority of patients with ZMC and midface.

Pediatric orbital floor fracture. Pediatric orbital floor fractures. Epidemiology The blowout fracture is t.

It is formed by the maxillary zygomatic and palatine bones. As maxillofacial fractures are frequently concomitant with head trauma because of the close anatomical proximity of the facial skeleton to the cranium 12 orbital fractures account for a significant portion of facial trauma 345Furthermore among orbital fractures the orbital floor is the most commonly involved wall due to its thin bony structure 346. Orbital floor fracture repair might be indicated in this setting for small or medium sized defects.

The criteria reported herein allow surgeons to identify the minority of patients with midfacial and ZMC fractures who require an orbital exploration for. Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. Appropriate timing is based on the clinical exam and imaging.

17 rows Orbital cellulitis is a rare but serious complication of orbital fractures. All patients whose last chart review indicated ongoing complica-. The bony orbit is a conical structure and has a volume of approximately 30 mL.

Orbital blowout fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact. Egbert JE May K Kersten RC Kulwin DR. Case report A 69-year-old previously.

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