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Semin Plast Surg 2017; 31(01): 031-039
DOI: 10.1055/s-0037-1598191
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Orbital Fracture Repair

Seanna Grob
1   Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Gavin Herbert Eye Institute, University of California, Irvine, California
,
Marc Yonkers
1   Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Gavin Herbert Eye Institute, University of California, Irvine, California
,
Jeremiah Tao
1   Department of Ophthalmology, Division of Oculofacial Plastic and Reconstructive Surgery, Gavin Herbert Eye Institute, University of California, Irvine, California
› Author Affiliations
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Publication History

Publication Date:
28 February 2017 (online)

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Abstract

Orbital fractures are very common after facial trauma. The assessment of a patient with a suspected orbital wall injury includes a detailed oculofacial examination as well as radiologic imaging. Surgical repair with or without an implant may be indicated for diplopia, enophthalmos, or both. Cicatricial eyelid malposition is an iatrogenic complication commonly due to poor orbitotomy technique. Optimal repair involves direct exposure of the perimeter of the fractures' site through surgical planes that minimally scar the eyelids. A wide variety of implant options exist; however, thin, pliable, nonadherent materials such as nylon foil may offer several advantages. The authors describe the evaluation and management of orbital wall fractures.

Keywords

orbit fracture - orbital floor - medial orbital wall - orbit implant - blow-out - enophthalmos - entrapment
 

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