Orbital Floor Fracture Treatment
Orbital Floor Fracture Treatment. 1) mobilize obviously entrapped extraocular muscles in cases presenting with positive forced ductions and severe subjective diplopia, 2) mobilize a large volume of herniated orbital fat back into the orbit in order to return the globe to its preinjury location in cases where greater than 2mm of enophthalmos and or. Orbital floor fracture repair surgery is intended to minimize these potential.
Most orbital floor defects can be repaired with synthetic implants composed of porous polyethylene, silicone, metallic rigid miniplates, vicryl mesh, resorbable materials, or metallic mesh. Correct ct radiographic interpretation of entrapped fractures can be subtle and thus missed. After that, rigid fixation is done along with replacement of injured bone.
The Following Review Will Discuss The Management Of Orbital Floor Fractures, With The Operative Method Preferred By The Author.
In severe fracture of the orbital bone, the doctor will refer the patient to plastic and reconstructive surgeon with a. The following review will discuss the management of orbital floor fractures, with the operative method preferred by the author. Your ophthalmologist may recommend the use of ice packs to reduce swelling, along with decongestants and antibiotics.
Appropriate Treatment Involves Optimal Timing Of Intervention, Proper Indications For Operative Repair, Incision And Dissection, Release Of Herniated Tissue, Implant Material And Placement, And Wound Closure.
Start patients on a combination steroid/antibiotic ointment on the wound 4 times per day and have them follow up in 1 week. The surgery involved the following steps: We reviewed the clinical, radiographic and intraoperative findings of 45 cas.
1) Mobilize Obviously Entrapped Extraocular Muscles In Cases Presenting With Positive Forced Ductions And Severe Subjective Diplopia, 2) Mobilize A Large Volume Of Herniated Orbital Fat Back Into The Orbit In Order To Return The Globe To Its Preinjury Location In Cases Where Greater Than 2Mm Of Enophthalmos And Or.
Appropriate treatment involves optimal timing of intervention, proper indications for operative repair, incision and dissection, release of herniated tissue, implant material and placement, and wound closure. Use an observation with possible intervention within 1 to 2 weeks in all other cases of confirmed orbital floor fractures. Other structures within the face may require treatment as well, such as the cheekbones or jaw.
Surgery — Surgery Can Repair Tissue Prolapse And Repair The Orbital Wall And An Implant Is Sometimes Placed To Create A New Orbital Wall.
If an orbital fracture is small, your ophthalmologist may recommend placing ice packs on the area to reduce swelling and allow the eye socket to heal on its own over time. 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. A systematically and thoroughly obtained history and physical examination are most important in the evaluation of the traumatized patients.
Some Surgeons Will Place A Drain In The Orbit And Admit The Patient Overnight.
We help you select the appropriate treatment of orbit, orbital floor fracture located in our module on midface How are orbital fractures treated? Orbital floor fracture repair surgery is most frequently performed with an open technique in which skin incisions are necessary.
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