Orbital Floor Fracture

Overview

Journal Arch Craniofac Surg

Date 2017 Sep 16

PMID 28913267

Citations 13

Authors

Hyo Seong Kim

Eui Cheol Jeong

Affiliations

Soon will be listed here.

Abstract

The medial wall and floor of the bony orbit are frequently fractured because of the delicate anatomy. To optimize functional and aesthetic results, reconstructive surgeons should understand the anatomy and pathophysiology of orbital fractures. Appropriate treatment involves optimal timing of intervention, proper indications for operative repair, incision and dissection, release of herniated tissue, implant material and placement, and wound closure. The following review will discuss the management of orbital floor fractures, with the operative method preferred by the author. Special considerations in operation technique and the complication are also present in this article.

Citing Articles

Morphometric Analysis of the Infraorbital Canal, Groove, and Foramen in the Indian Population: A Retrospective Analytical Study.

Razak T, A C L, Narayanan V, Gurram P Cureus. 2024; 16(10):e72367.

PMID: 39583533 PMC: 11585966. DOI: 10.7759/cureus.72367.

Patterns of ZMC and Le Fort Fractures under the Impact of the COVID-19 Pandemic-"A Changing Face?".

Dudde F, Schunk J, Telschow T, Barbarewicz F, Schuck O, Giese M J Clin Med. 2024; 13(16).

PMID: 39200801 PMC: 11355621. DOI: 10.3390/jcm13164662.

Pure Orbital Floor Blow-In Fracture: An Extremely Rare Case.

Akiyama K, Ouchi Y, Hosokawa A, Tamai M, Hoshikawa H Cureus. 2024; 16(2):e53399.

PMID: 38440001 PMC: 10911642. DOI: 10.7759/cureus.53399.

Delayed onset enophthalmos and hypoglobus mimicking silent sinus syndrome following midface trauma.

Babu J, Ramachandran V, Jayakumar N BMJ Case Rep. 2024; 17(2).

PMID: 38350703 PMC: 10868287. DOI: 10.1136/bcr-2023-257937.

Mapping the Posterior Ledge and Optic Foramen in Orbital Floor Blowout Fractures.

Wong Y, Goh D, Yoong C, Ho C, Cai E, Hing A Arch Plast Surg. 2023; 50(4):370-376.

PMID: 37564709 PMC: 10411167. DOI: 10.1055/a-2074-2092.

References

Boyette J, Pemberton J, Bonilla-Velez J . Management of orbital fractures: challenges and solutions. Clin Ophthalmol. 2015; 9:2127-37. PMC: 4655944. DOI: 10.2147/OPTH.S80463. View

Strong E, Kim K, Diaz R . Endoscopic approach to orbital blowout fracture repair. Otolaryngol Head Neck Surg. 2004; 131(5):683-95. DOI: 10.1016/j.otohns.2004.05.017. View

Smith B, Lisman R, SIMONTON J, Della Rocca R . Volkmann's contracture of the extraocular muscles following blowout fracture. Plast Reconstr Surg. 1984; 74(2):200-16. DOI: 10.1097/00006534-198408000-00004. View

Ng S, Madill S, Inkster C, Maloof A, Leatherbarrow B . Medpor porous polyethylene implants in orbital blowout fracture repair. Eye (Lond). 2001; 15(Pt 5):578-82. DOI: 10.1038/eye.2001.188. View

Hawes M, Dortzbach R . Surgery on orbital floor fractures. Influence of time of repair and fracture size. Ophthalmology. 1983; 90(9):1066-70. DOI: 10.1016/s0161-6420(83)80049-9. View

Dutton J . Management of blow-out fractures of the orbital floor. Surv Ophthalmol. 1991; 35(4):279-80. DOI: 10.1016/0039-6257(91)90048-k. View

Brucoli M, Arcuri F, Cavenaghi R, Benech A . Analysis of complications after surgical repair of orbital fractures. J Craniofac Surg. 2011; 22(4):1387-90. DOI: 10.1097/SCS.0b013e31821cc317. View

Hosal B, Beatty R . Diplopia and enophthalmos after surgical repair of blowout fracture. Orbit. 2002; 21(1):27-33. DOI: 10.1076/orbi.21.1.27.2598. View

Rontal E, Rontal M, Guilford F . Surgical anatomy of the orbit. Ann Otol Rhinol Laryngol. 1979; 88(3 Pt 1):382-6. DOI: 10.1177/000348947908800315. View

10.

Ord R, El Attar A . Acute retrobulbar hemorrhage complicating a malar fracture. J Oral Maxillofac Surg. 1982; 40(4):234-6. DOI: 10.1016/0278-2391(82)90319-6. View

11.

Ellis 3rd E, El-Attar A, Moos K . An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg. 1985; 43(6):417-28. DOI: 10.1016/s0278-2391(85)80049-5. View

12.

Smith B, REGAN Jr W . Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol. 1957; 44(6):733-9. DOI: 10.1016/0002-9394(76)90774-1. View

13.

Gwyn P, Carraway J, HORTON C, ADAMSON J, MLADICK R . Facial fractures--associated injuries and complications. Plast Reconstr Surg. 1971; 47(3):225-30. DOI: 10.1097/00006534-197103000-00004. View

14.

Parsons G, Mathog R . Orbital wall and volume relationships. Arch Otolaryngol Head Neck Surg. 1988; 114(7):743-7. DOI: 10.1001/archotol.1988.01860190047020. View

15.

Chen C, Huang F, Chen Y . Management of posttraumatic enophthalmos. Chang Gung Med J. 2006; 29(3):251-61. View

16.

Tuncer S, Yavuzer R, Kandal S, Demir Y, Ozmen S, Latifoglu O . Reconstruction of traumatic orbital floor fractures with resorbable mesh plate. J Craniofac Surg. 2007; 18(3):598-605. DOI: 10.1097/01.scs.0000246735.92095.ef. View

17.

AlDekhayel S, Aljaaly H, Fouda-Neel O, Shararah A, Zaid W, Gilardino M . Evolving trends in the management of orbital floor fractures. J Craniofac Surg. 2014; 25(1):258-61. DOI: 10.1097/SCS.0000000000000441. View

18.

Nakamura T, Gross C . Facial fractures. Analysis of five years of experience. Arch Otolaryngol. 1973; 97(3):288-90. DOI: 10.1001/archotol.1973.00780010296016. View

19.

Lee K, Park J, Kwon S, Kim S, Jeong E . Three-dimensional pre-bent titanium implant for concomitant orbital floor and medial wall fractures in an East asian population. Arch Plast Surg. 2014; 41(5):480-5. PMC: 4179350. DOI: 10.5999/aps.2014.41.5.480. View

20.

Sires B, Stanley Jr R, Levine L . Oculocardiac reflex caused by orbital floor trapdoor fracture: an indication for urgent repair. Arch Ophthalmol. 1998; 116(7):955-6. View