orbital floor fracture complications

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There are multiple approaches to repairing orbital floor fractures. This study compares the postoperative complications of the subciliary and transconjunctival approaches.

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Complications of indirect orbital floor fractures result from a loss in the structural integrity of the orbital floor and its sequelae such as redistribution of or injury to orbital content and from injury to tissue or imprecise correction during the repair of floor fractures.

. Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. CAS Article Google Scholar. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.

Repositioning of the orbital floor tamponade of the maxillary sinus covering of the defect with Lyodura autologous bone grafting and balloon catheterization. According to Nigel et al orbital floor fractures are considered urgent with following complications. Ad Find information on chronic and acute pain its causes symptoms and recovery period.

For orbital floor reconstruction polydioxanone sheets 015 mm 383 025 mm 362 05 mm 28 were mainly used followed by titanium meshes 115. Diplopia with restriction of gaze entrapment of extraocular muscles enophthalmos 2 mm fracture that involved over half the orbital floor and the medial wall and trapdoor orbital floor fractures in children 8. Pure blow-out fractures an isolated floor fractures with.

The following procedures were performed by the maxillofacial surgeon. Complications associated with alloplastic implants used in orbital floor fracture repair. Find Information on Diseases Conditions Sports Injury Personal Injury.

1 Signs and symptoms of orbital floor fractures blowout Patients may describe the following after facial trauma. Upper roof lateral medial and lower floor. Complications after orbital floor fractures were studied in 76 cases follow-up time 4 years.

Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons. Ecchymosis was reported in all the fractures of the medial orbital wall 90 of the isolated nasal bone fracture and 8330 of the frontal bone orbital floor and Le Fort III fractures. Orbital floor fractures either direct or indirect may result in.

Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. A total of 184 patients were identified and. 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.

Orbital fractures represent 40 of craniofacial injuries Orbital walls are classified as follows. 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. Decreased visual acuity Blepharoptosis Binocular vertical or oblique diplopia.

A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Orbital floor fractures are a common result of orbital injury. The most common cause of injury was physical assault 320 followed by falls 308 and traffic accidents 170.

A study by Jacobs et al indicated that in patients with multiple facial fractures undergoing orbital floor repair a 645 chance exists that a. The electronic medical records from 2 hospitals were screened for CPT codes associated with orbital floor reconstruction. Recognized sequelae of orbital floor fractures include enophthalmos diplopia from.

The floor is commonly involved in traumatic events due to the extremely thin bone According to AO Classification 3 4 orbital floor fractures are defined as. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required. Subconjunctival hemorrhage was reported in all the cases of frontal bone 100 orbital floor 100 and Le Fort II fractures 100.

The average orbital wall defect size was 2979 mm 2 1908 mm2. ImportanceOrbital floor fracture repair is complex and postoperative complications are common.

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