How do you repair an orbital floor fracture?

Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. More commonly, titanium meshes, porous polyethylene sheets, or autologous bone grafts. Titanium meshes and bone grafts are radiopaque.

What is orbital floor reconstruction?

The goal of orbital floor reconstruction is to restore the pre-injury shape of the fractured floor to provide support of the globe and prevent herniation of the periorbital structures into the maxillary antrum.

What is the orbital floor?

The orbital floor is the shortest of all the walls; it does not reach the orbital apex, measures 35-40 mm, and terminates at the posterior edge of the maxillary sinus. The bones that contribute to the structure of the orbit.

What is treatment for orbital fracture?

Medical Therapy Most isolated medial wall orbital fractures require no treatment other than applying ice compresses, warning patients to avoid blowing their nose, and providing decongestants and systemic antibiotics.

How is a blow out fracture of the orbital floor repaired?

The success of blow-out fracture repair depends on adequate exposure, visualization of posterior bony shelf, and anatomic repair of the entire defect. A fracture of the orbital floor may be repaired through transcutaneous, transconjunctival, or endoscopic (transmaxillary or transnasal) approaches.

Are there any complication with orbital floor repair?

A study by Jacobs et al indicated that in patients with multiple facial fractures undergoing orbital floor repair, a 6.45% chance exists that a blinding surgical complication will occur. [ 23]

Do you need surgery for an orbital fracture?

When it comes to surgical repair of orbital floor fractures, the consensus among oculoplastic specialists is that less is often more. Many fractures of the orbit, a common occurrence with facial trauma, never require surgery, which is customarily performed in patients with restricted motility,…

What kind of implants are used for orbital fractures?

For isolated orbital floor fractures, our preferred implants are thin porous polyethylene sheets or nylon foil. For fractures with significant enophthalmos, thicker barrier channel porous polyethylene is used.