Transpalpebral Orbitap Floor Fracture Repair

2 recent clinical studies have recommended prompt surgical repair in patients with large fractures 50 of the orbital floor and in those with disability.

Transpalpebral orbitap floor fracture repair. Based on his review burnstine described three time periods for repair. Orbital fractures of this size have a high incidence of subsequent significant enophthalmos. Egbert je may k kersten rc kulwin dr. 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.

Most literature supports a 2 week window for repair to prevent fibrosis resulting tissue. In some younger patients the so called trap door phenomenon can occur in which there is danger of necrosis of the entrapped rectus muscle within a few hours. Clinical recommendations for repair of isolated orbital floor fractures. The timing and requirements for surgical repair of pure orbital floor fractures has been long debated.

The orbital floor blowout fracture is characterized by the involvement of only the wall of the orbit with an intact orbital rim 1 after blunt trauma. Bsv improvement did not differ significantly between those with large and small orbital fracture sizes. A blowout fracture of the orbital floor is defined as a fracture of the orbital floor in which the inferior orbital rim is intact. Demographic data surgical outcomes and complications were gathered from available patient charts.

This technique has many advantages including simplicity of continue reading. Pediatric orbital floor fracture. All orbital floor fractures treated with the outlined technique from 1998 to 2007 were reviewed in a retrospective fashion. Immediate release of entrapped tissues is necessary.

Usually there is no need for emergency treatment in orbital floor medial wall fractures unless there is severe ongoing hemorrhage in the orbital cavity the paranasal or nasal cavity. This bioresorbable implant is a promising material for the repair of both small and large orbital floor fractures giving good functional and aesthetic outcomes. 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. 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.

Case series with chart review. Immediate repair was recommended in cases of fractures with orbital soft tissue entrapment with a. There were features of neobone formation on ct scan performed 1 5 years after implantation. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more.

Medial orbital wall fractures are known to occur concomitantly with floor fractures. Etiology fractures of the orbital floor are common. Immediate within two weeks and observation.