Anesthesia For Orbital Floor Fracture

Inferior blowout fractures involving the floor of the orbit maxillary sinus roof are the most common followed by medial wall blowout fractures.

Anesthesia for orbital floor fracture. Influence of time of repair and fracture size. He prefers to measure the size of the fracture in two dimensions and the degree of fragment displacement. In the literature there are many conflicting reports about classifications type of implant materials and ideal time to perform surgery. In patients with orbital fracture if the eye looks sunken in then surgery will also help in restoring the normal architecture of the eye socket.

Blowout fractures of the orbit most frequently affect the middle third of the orbit where the orbital walls are the thinnest. Some surgeons say that 50 percent involvement of the orbital floor or wall is an indication for surgery dr. In my view that s a rather arbitrary measurement for example see the two fractures in fig. A conjunctival incision is made with monopolar cautery with a corneal protector in place across the length of the.

Orbital blowout fractures anatomy and mechanism of injury. Management of orbital floor fractures is still debated and controversial. Surgery on orbital floor fractures. The aim of this study was to report our experience about the repair of the orbital floor fractures and new technical findings.

All orbital floor fractures should be repaired via a transconjunctival approach. An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall typically resulting from impact of a blunt object larger than the orbital aperture or eye socket most commonly the inferior orbital wall i e. Jordan dr allen lh white j harvey j pashby r esmaile b. Bone grafts were chosen for large defects comminuted fractures or if other reconstruction eg sinus was required.

Orbital floor fractures especially blowout fractures can lead to complications including diplopia paresthesia of the infraorbital nerve and enophthalmos. The floor is likely to collapse because the bones of the roof and lateral walls are robust. Variables studied included age sex trauma to surgery time lag surgeon fracture type length of surgery antibiotics prosthesis. Surgery for orbital fracture is done to remove fragments of the bone free any entrapped eye muscles and to eliminate double vision.

Operative intervention of orbital floor fractures is generally reserved for orbital fracture patterns that produce diplopia or clinically detectable aesthetic deformities. Intervention within days for some orbital floor fractures. This video illustrates the use of porous polyethylene implant stabilized with cyanoacrylate glue to repair an orbital floor fracture by the transconjunctival.