orbital floor fracture repair complications

Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury. In all three cases the cause of the proptosis was probably hemorrhage of the capillaries in a fibrous capsule that surrounded the implant and that was evident on orbital CT.

Orbital Reconstruction For Orbit Orbital Floor Fracture

Potential complications include incomplete correction of preoperative enophthalmos or diplopia as well as induction of hypoglobus or hyperglobus eyelid malposition or optic nerve injury.

. The inferior rectus muscle or orbital tissue can become entrapped within the fracture. Long Term Complications of Orbital Floor Fracture Repair October 2001 The Canadian journal of plastic surgery Journal canadien de chirurgie plastique 95183-192. Bruising and limited eye movements secondary to swelling are common clinical presentations top.

Repiratory epithelial ingrowth and hemorrhage as late complications of orbital floor fracture repair with silicone sheet implant. 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. Complications associated with alloplastic implants used in orbital floor fracture repair.

The findings suggest that orbital floor fracture repair is. To optimize functional and aesthetic results a stepwise analysis of the. Diplopia was least likely to occur with orbitozygomatic or panfacial fractures and more probable with bone grafts.

Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor. 26 in JAMA Facial Plastic Surgery. To optimize functional and aesthetic results a stepwise analysis of the.

A variety of applicable surgical techniques and technologies are available to surgeons so data about which of these may decrease postoperative complication rates can help better guide clinical decision making. Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos. As with any surgical procedure bleeding infection and the need for additional surgery are risks.

Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated. Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications. Postoperative complications did not differ significantly for patients undergoing repair by ENT or plastic surgeons.

CAS Article Google Scholar. Oculoplastic surgeons deal with all the complications resulting from orbital fracture repair. Recognized sequelae of orbital floor fractures include enophthalmos diplopia from extraocular muscle dysfunction entrapment ischameia haemorrhage or nerve injury and infraorbital nerve.

The possible loss of vision is the most ominous complication associated with floor repair. Residual or new-onset diplopia neuralgia and extraocular muscle dysfunction are potential complications. In one patient trauma preceded the onset of proptosis.

Altered vision is more probable with older patients and with longer surgeries. 27 2017 HealthDay News For patients undergoing orbital floor fracture repair total operative time and postoperative complications are similar for cases performed by plastic surgeons versus ear nose and throat ENT surgeons according to a research letter published online Oct. This hyper-pressure can lead to herniation of the orbital contents through the fracture with increased intra-orbital volume.

Vision loss double vision globe malposition hypoesthesia and lid malposition. Three patients developed unilateral proptosis 13 16 and 20 years after repair of blow-out fracture with orbital floor Teflon implants. Some surgeons harvest split-thickness calvarium for an implant although this significantly lengthens the surgical time and increases the potential complications.

Orbital floor fracture repair complications. Jordan DR Allen LH White J Harvey J Pashby R Esmaeli B. Reintervention resolved one of three complications.

So it gives us greater pause to do surgery without strong indications he said. CT scan demonstrates common findings of a blow out fracture with. Multiple implant options are available for the repair of orbital floor fractures.

As with any surgical procedure bleeding infection and the need for additional surgery are risks. Ophthal Plast Reconstr Surg. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.

There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye. Early decompression is favorable for neural restitution. An example of a patient presenting with a right orbital floor blowout fracture.

Some of these complications include the very things that surgery is intended to avoid. Complications Complications Surgical complications Vision loss Eyelid retraction Enophthalmos Worsening diplopia Infection or migration of orbital implant Postoperative retrobulbar hemorrhage Inappropriate placement of orbital implant Lower Eyelid Retraction. Orbital floor fracture repair is complex and postoperative complications are common.

Intervention within days for some orbital floor fractures. Orbital Floor Fractures Section VI. Of all patients 392 remain with long term unresolved complications.

The long term complications of orbital floor fracture repair and because for most cases outpatient follow-up seldom lasted more than five years usually about one year addi-tional information was gathered by a telephone survey. The possible loss of vision is the most ominous complication associated with floor repair. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.

The floor fracture is no more than a decompression of the increased intra-orbital pressure due to the anterior shock during orbital trauma. All patients whose last chart review indicated ongoing complica-.

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