Transpalpebral Orbital Floor Fracture Repair

To review our technique of endoscopic transantral repair of orbital floor fractures.

Transpalpebral orbital floor fracture repair. All orbital floor fractures treated with the outlined technique from 1998 to 2007 were reviewed in a retrospective fashion. This technique has many advantages including simplicity of continue reading. In the literature there are many conflicting reports about classifications type of implant materials and ideal time to perform surgery. Clinical recommendations for repair of isolated orbital floor fractures.

This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival technique in a 10 year old child who had sustained a facial trauma. A blowout fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact. Etiology fractures of the orbital floor are common. It is estimated that about 10 of all facial fractures are isolated orbital wall fractures the majority of these being the orbital floor and that 30 40 of all facial fractures involve the orbit.

This video is assisted by surg. A the dorsal view of the inferior wall of the right orbit the main mechanisms of blow out fracturing of the orbital floor are wavelike deformations shown with dashed lines that are transmitted from the intraorbital rim to the orbital floor b c a horizontal impact i 1 causes less significant deformation d 1 compared. Case series with chart review. Diplopia within 30 of primary gaze associated with a positive forced duction test clinically significant enophthalmos greater than 2 mm and a fracture size greater than 50 of the orbital floor.

Orbital fractures of this size have a high incidence of subsequent significant enophthalmos. 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. She had an incarcerated inferior rectus muscle in the fracture causing diplopia in upgaze. Step by step live surgical video showing repair in a case of orbital floor fracture with entrapment of inferior rectus muscle.

The aim of this study was to report our experience about the repair of the orbital floor fractures and new technical findings. Other indications vary but most surgeons will repair fractures within 2 weeks if one or more of the following criteria are met. Repair is typically. Demographic data surgical outcomes and complications were gathered from available patient charts.

Orbital floor fracture is one of the most common facial skeleton fractures after mid facial trauma accounting for up to 40 of craniofacial injuries 1 2 patients may complain of ocular symptoms aberration of aesthetic appearance and dysesthesia around the damaged cheek. Egbert je may k kersten rc kulwin dr. Pediatric orbital floor fracture.