orbital floor fracture repair complications

Ophthal Plast Reconstr Surg. This 24-year-old man also had.

Orbit Orbital Fractures A Primer For Patients North American Society Of Academic Orbital Surgeons

Orbital fracture repair may be associated with significant morbidity for patients.

. Jordan DR Allen LH White J Harvey J Pashby R Esmaeli B. Coronal slice of a CT scan shows a non-affected left orbit with normal anatomy of the transition zone. Experience of orbital floor fractures in a UK level one trauma centre.

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. 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 possible loss of vision is the most ominous complication associated with floor repair.

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. Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications. Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons.

All patients whose last chart review indicated ongoing complica-. Alternative forms of management consist of not treating the orbital floor fractures. The optic nerve exits the orbit through the optic foramen located at the superonasal portion of the orbit.

Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. As with any surgical procedure bleeding infection and the need for additional surgery are risks. Vision loss double vision globe malposition hypoesthesia and lid malposition.

Some of these complications include the very things that surgery is intended to avoid. Describe the treatment and management of orbital floor fractures including potential complications after initial treatment or 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.

Dacryocystitis Late Complication Of Orbital Floor Fracture Repair Repair Of Medial Orbital Wall Fracture Using A Retrocaruncular Unilateral Mydriasis During. Two of the 4 patients had 2 separate fractures. Orbital floor fractures especially blowout fractures can lead to complications including diplopia paresthesia of the infraorbital nerve and enophthalmos.

14 54-year-old man who underwent left orbital floor fracture repair 1 week prior with orbital emphysema. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos. Borghol K Turton N Sharp I.

Recognized sequelae of orbital floor fractures include enophthalmos diplopia from extraocular muscle dysfunction entrapment ischameia haemorrhage or nerve injury and infraorbital nerve. View larger version 334K Fig. Repair of the transition zone between medial orbital wall and floor is vital and determines the position of the orbital contents and the globe.

There were no complications and no need for reoperation. 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. Repiratory epithelial ingrowth and hemorrhage as late complications of orbital floor fracture repair with silicone sheet implant.

Br J Oral Maxillofac Surg. To optimize functional and aesthetic results a stepwise analysis of the. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye.

Visual loss following fracture repair is generally the result of retrobulbar hemorrhage in the acute presentation that causes orbital compartment syndrome. Summarize the role of improving coordination among the interprofessional team to streamline diagnosis and treatment for patients with orbital floor fracture. A focus on the surgical approach and lid-related complications.

The findings suggest that orbital floor fracture repair is. ImportanceOrbital floor fracture repair is complex and postoperative complications are common. Intervention within days for some orbital floor fractures.

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. Avoiding complications in the repair of orbital floor fractures. Oculoplastic surgeons deal with all the complications resulting from orbital fracture repair.

Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. JAMA Facial Plast Surg. 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.

Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. So it gives us greater pause to do surgery without strong indications he said. INHERENT RISKS OF ORBITAL FLOOR FRACTURE REPAIR.

The inferior rectus muscle or orbital tissue can become entrapped within the fracture. Orbital Floor Fractures Section VI. 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.

Operative intervention of orbital floor fractures is generally reserved for orbital fracture patterns that produce diplopia or clinically detectable aesthetic deformities. On a trap door orbital floor fracture after release of entrapped tissues B. Door orbital wall fracture repair to cover the fracture site and.

Orbital floor fracture repair complications.

Orbital Blowout Fracture