Left Orbital Floor Fracture Repair

This video is assisted by surg.

Left orbital floor fracture repair.

Figure 67 1b left panel shows a coronal image with a large orbital flow blow out fracture greater than 50 with significant prolapse of the orbital soft tissues into the maxillary sinus. Ophthal plast reconstr surg. This is a fracture of the paper thin floor of the eye socket with the bony rim surrounding the eye remaining intact. Orbital blowout fracture or indirect orbital floor fracture.

Surgery on orbital floor fractures. Intervention within days for some orbital floor fractures. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. Influence of time of repair and fracture size.

Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. However titanium meshes add to the cost of the surgery while bone graft requires additional. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more.

Fractures to the inferior. Figure 67 1b right panel is a sagittal ct image of the same patient showing the extent of the fracture from anterior to posterior. Coronal slice of a ct scan shows a non affected left orbit with normal anatomy of the transition zone. Step by step live surgical video showing repair in a case of orbital floor fracture with entrapment of inferior rectus muscle.

A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. The floor of the eye socket ruptures or cracks resulting in a small hole in the eye socket s floor which can trap some parts of the eye muscles and its surrounding. This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival. Synthetic prostheses were tailored to the orbital floor in clinically significant fractures.

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. Titanium meshes and bone grafts are radiopaque.