Avoiding complications in the repair of orbital floor fractures. JAMA Facial Plast Surg 2014;16(4):290-5
Date
05/31/2014Pubmed ID
24874836DOI
10.1001/jamafacial.2014.56Scopus ID
2-s2.0-84907314484 (requires institutional sign-in at Scopus site) 21 CitationsAbstract
Fractures of the orbital floor are commonly repaired by all specialists who manage facial trauma. Potential complications include incomplete correction of preoperative enophthalmos or diplopia, as well as induction of hypoglobus or hyperglobus, eyelid malposition, or optic nerve injury. To optimize functional and aesthetic results, a stepwise analysis of the surgical procedure is presented-from the election and timing of repair, through the incision and dissection path, release of herniated orbital tissue, implant material and placement, wound closure, and postoperative care. Key elements include the distinction of floor fracture subtypes, avoiding cicatricial contraction of the lower eyelid, complete release of herniated soft tissue, direct observation of all fracture margins, and proper contouring and positioning of the implant.
Author List
Harris GJAuthor
Gerald J. Harris MD Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Fracture FixationHumans
Orbital Fractures
Postoperative Complications
