DOI QR코드

DOI QR Code

Orbital Floor Fracture

  • Kim, Hyo Seong (Department of Plastic Surgery, SMG-SNU Boramae Medical Center) ;
  • Jeong, Eui Cheol (Department of Plastic Surgery, SMG-SNU Boramae Medical Center)
  • Received : 2016.05.04
  • Accepted : 2016.08.30
  • Published : 2016.09.20

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.

Keywords

References

  1. Nakamura T, Gross CW. Facial fractures: analysis of five years of experience. Arch Otolaryngol 1973;97:288-90. https://doi.org/10.1001/archotol.1973.00780010296016
  2. Gwyn PP, Carraway JH, Horton CE, Adamson JE, Mladick RA. Facial fractures: associated injuries and complications. Plast Reconstr Surg 1971;47:225-30. https://doi.org/10.1097/00006534-197103000-00004
  3. Rontal E, Rontal M, Guilford FT. Surgical anatomy of the orbit. Ann Otol Rhinol Laryngol 1979;88:382-6. https://doi.org/10.1177/000348947908800315
  4. Rootman J. Basic anatomic considerations. In: Rootman J, editor. Diseases of the orbit : a multidisciplinary approach. Philadelphia: Lippincott; 1988. p. 3-18.
  5. Ellis E 3rd, el-Attar A, Moos KF. An analysis of 2,067 cases of zygomatico- orbital fracture. J Oral Maxillofac Surg 1985;43:417-28. https://doi.org/10.1016/S0278-2391(85)80049-5
  6. Smith B, Regan WF Jr. Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol 1957;44:733-9. https://doi.org/10.1016/0002-9394(76)90774-1
  7. Hawes MJ, Dortzbach RK. Surgery on orbital floor fractures: influence of time of repair and fracture size. Ophthalmology 1983;90:1066-70. https://doi.org/10.1016/S0161-6420(83)80049-9
  8. Boyette JR, Pemberton JD, Bonilla-Velez J. Management of orbital fractures: challenges and solutions. Clin Ophthalmol 2015;9:2127-37.
  9. Chen CT, Huang F, Chen YR. Management of posttraumatic enophthalmos. Chang Gung Med J 2006;29:251-61.
  10. Sires BS, Stanley RB Jr, Levine LM. Oculocardiac reflex caused by orbital floor trapdoor fracture: an indication for urgent repair. Arch Ophthalmol 1998;116:955-6.
  11. Kang MS, Jeong EC. White-eyed medial orbital wall fracture with oculocardiac symptoms. Arch Plast Surg 2015;42:247-9. https://doi.org/10.5999/aps.2015.42.2.247
  12. Smith B, Lisman RD, Simonton J, Della Rocca R. Volkmann's contracture of the extraocular muscles following blowout fracture. Plast Reconstr Surg 1984;74:200-16. https://doi.org/10.1097/00006534-198408000-00004
  13. Parsons GS, Mathog RH. Orbital wall and volume relationships. Arch Otolaryngol Head Neck Surg 1988;114:743-7. https://doi.org/10.1001/archotol.1988.01860190047020
  14. Aldekhayel S, Aljaaly H, Fouda-Neel O, Shararah AW, Zaid WS, Gilardino M. Evolving trends in the management of orbital floor fractures. J Craniofac Surg 2014;25:258-61. https://doi.org/10.1097/SCS.0000000000000441
  15. Dutton JJ. Management of blow-out fractures of the orbital floor. Surv Ophthalmol 1991;35:279-80. https://doi.org/10.1016/0039-6257(91)90048-K
  16. Hammer B. Orbital fractures: diagnosis, operative treatment, secondary corrections. Seattle: Hogrefe & Huber Publishers; 1995.
  17. Strong EB, Kim KK, Diaz RC. Endoscopic approach to orbital blowout fracture repair. Otolaryngol Head Neck Surg 2004;131:683-95. https://doi.org/10.1016/j.otohns.2004.05.017
  18. Salgarelli AC, Bellini P, Landini B, Multinu A, Consolo U. A comparative study of different approaches in the treatment of orbital trauma: an experience based on 274 cases. Oral Maxillofac Surg 2010;14:23-7. https://doi.org/10.1007/s10006-009-0176-2
  19. Ord RA, El Attar A. Acute retrobulbar hemorrhage complicating a malar fracture. J Oral Maxillofac Surg 1982;40:234-6. https://doi.org/10.1016/0278-2391(82)90319-6
  20. Brucoli M, Arcuri F, Cavenaghi R, Benech A. Analysis of complications after surgical repair of orbital fractures. J Craniofac Surg 2011;22:1387-90. https://doi.org/10.1097/SCS.0b013e31821cc317
  21. Hosal BM, Beatty RL. Diplopia and enophthalmos after surgical repair of blowout fracture. Orbit 2002;21:27-33. https://doi.org/10.1076/orbi.21.1.27.2598
  22. Lee KM, Park JU, Kwon ST, Kim SW, Jeong EC. Three-dimensional pre-bent titanium implant for concomitant orbital floor and medial wall fractures in an East Asian population. Arch Plast Surg 2014;41:480-5. https://doi.org/10.5999/aps.2014.41.5.480
  23. Ng SG, Madill SA, Inkster CF, Maloof AJ, Leatherbarrow B. Medpor porous polyethylene implants in orbital blowout fracture repair. Eye (Lond) 2001;15:578-82. https://doi.org/10.1038/eye.2001.188
  24. Tuncer S, Yavuzer R, Kandal S, Demir YH, Ozmen S, Latifoglu O, et al. Reconstruction of traumatic orbital floor fractures with resorbable mesh plate. J Craniofac Surg 2007;18:598-605. https://doi.org/10.1097/01.scs.0000246735.92095.ef

Cited by

  1. Exploring the effect of streamlining multidisciplinary care pathways on orbital trauma outcomes at a regional referral centre vol.22, pp.1, 2016, https://doi.org/10.1177/2053434519836431
  2. Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts vol.10, pp.3, 2016, https://doi.org/10.3390/jfb10030027
  3. Surgical indication analysis according to bony defect size in pediatric orbital wall fractures vol.21, pp.5, 2016, https://doi.org/10.7181/acfs.2020.00409
  4. Orbital floor fracture repair with implants: a retrospective study vol.22, pp.4, 2016, https://doi.org/10.7181/acfs.2020.00640