orbital floor fracture complications
Late complication of orbital floor fracture repair with implant. Many reconstruction materials for orbital floor fractures have been described in the past including autologous bone transplants resorbable polymers and titan.
Orbital Fractures In Children Clinical Features And Management Outcomes Journal Of American Association For Pediatric Ophthalmology And Strabismus Jaapos
Orbital floor fractures are secondary to a sudden increase in intraorbital hydraulic pressure.
. Statistically significant differences were. All 11 orbital wall reconstructions 6 orbital floor and 5 medial wall fractures were successful with no post operative ophthalmic complications. A retrospective comparative case series of all orbital floor fracture repair cases 158 eyes from 1983 to 1998 was done.
Orbital floor fracture repair is complex and postoperative complications are common. 2 Diplopia is the most common complication and. Oculoplastic surgeons deal with all the complications resulting from orbital fracture repair.
The most common complication after open reduction of orbital fractures is initial diplopia which usually resolves within a few weeks. Acute signs and symptoms of orbital blowout fractures include orbital pain enophthalmos diplopia and infraorbital nerve hypesthesia. Background Many reconstruction materials for orbital floor fractures have been described in the past including autologous bone transplants resorbable polymers and titan.
Synthetic prostheses were tailored to the orbital floor in clinically. 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. Ocular dystopia is another common post.
Eighteen percent of patients who showed persistent symptoms and post. There are numerous acute complications from orbital fracture repair which can include permanent loss of vision in the affected eye. A variety of applicable surgical techniques and technologies are available to.
The most common of these were diplopia 114 corneal injury 71 proptosis 54 and enopthalmos 49. Recognized sequelae of orbital floor fractures include enophthalmos diplopia from extraocular muscle dysfunction entrapment ischameia haemorrhage or nerve injury. Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma.
So it gives us greater pause to do surgery without strong indications he said. Implant selection is guided by surgeon experience availability and patient specific needs. The overall postoperative complication rate was 255.
There are a variety of implant materials available for orbital floor fracture repair. Reconstructions with the 015 mm polydioxanone sheets showed the least complications p 001 r 015. Routine antibiotic prophylaxis has not been proven to prevent orbital cellulitis or abscess formation.
A high-velocity object that impacts the globe and upper eyelid transmits kinetic. Orbital cellulitis is a rare but serious complication of orbital fractures. Potential complications include incomplete correction of preoperative enophthalmos or.
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