orbital floor fracture complications

Orbital cellulitis is a rare but serious complication of orbital fractures. Routine antibiotic prophylaxis has not been proven to prevent orbital cellulitis or abscess formation.

Naso Orbitoethmoid Noe Complex Fracture Radiology Reference Article Radiopaedia Org Radiology Fracture Complex

Symptoms of an orbital socket fracture will depend on the type and severity of the break.

. Routine antibiotic prophylaxis has not been proven to prevent orbital cellulitis or abscess formation. There were 190 of patients who showed postoperative complications. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required.

Vision loss double vision globe malposition hypoesthesia and lid malposition. Prolapse of orbital fat Several imaging features are associated with late enophthalmos 1. Recognized sequelae of orbital floor fractures include enophthalmos diplopia from.

Common complications are postoperative edema chemosis ecchymoses blurry vision discomfort and. A black eye Diplopia double vision Enophthalmos when your eye is out of place. Surface area of fracture 2 cm 5 25-50 involvement of inferior or medial orbital walls collapse of internal orbital buttress or convex junctional bulge internal orbital buttress located at the union between medial and inferior orbital walls.

Trigeminal function assessment. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye. Complications 15-16 Technique guide.

The orbital floor defect must be covered completely without orbital tissue herniation. 17 rows Orbital cellulitis is a rare but serious complication of orbital fractures. The ideal material will.

Synthetic prostheses were tailored to the orbital floor in clinically significant fractures. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done. Orbital Floor Fractures Technique Guide Editor.

Orbital Floor Fractures Table of contents Table of contents Orbital Anatomy Clinical Presentation Indications for Surgical 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. Even if nothing bad happens the patient may have undergone surgery for no reason said Paul D.

The infraorbital nerve runs along the floor of the orbit. 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. 17 rows orbital cellulitis.

Surgery may be required in some patients to drain orbital abscess or to drain the paranasal sinuses in nonresolving cellulitis. Tenderness or step-offs at the infraorbital rim Subcutaneous emphysema indicates a fracture of the maxillary sinus. The smallest implant that will achieve this in the subperiosteal position is ideal.

Recognized sequelae of orbital floor fractures include enophthalmos diplopia from. Dysesthesia diplopia ec-tropion and epiphora pain and stiffness enophthalmos infec-tion vision changes and extrusion. The differential diagnosis of any orbital fracture should include other orbital floor fractures and traumatic injuries.

Decreased sensation over the inferior orbital rim extending to the edge of the nose and ipsilateral upper lip can occur. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. 58 suffered from persisting motility impairment 37 from enophthalmos 32 from consistent diplopia 26 from ectropion and 05 from orbital infection.

The infraorbital nerve runs along the floor of the orbit. Langer MD FACS at Rutgers New Jersey Medical School. Orbital floor fractures are a common result of orbital injury.

Some associa-tions that were made in the present study are. Some of these complications include the very things that surgery is intended to avoid. Surgery may be required in some patients to drain orbital abscess or to drain the paranasal sinuses in non-resolving cellulitis.

Long term unresolvedcomplications were suffered by 392 of eyes. In chronological order the following complications may occurafter orbital floor fracture 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.

Complication of the surgery are directly related to the severity of the orbital fracture. The inferior rectus muscle or orbital tissue can become entrapped within the fracture resulting. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos.

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