scholarly journals Orbital Floor Fractures: Management Protocols

2010 ◽  
Vol 3 (1) ◽  
pp. 1-4
Author(s):  
Hemant Chopra ◽  
Kapil Dua ◽  
Neha Chopra ◽  
Vikrant Mittal ◽  
Rajinder Mittal
Keyword(s):  
Maxillofacial Trauma ◽  
Orbital Floor ◽  
Orbital Fractures ◽  
Treatment Timing ◽  
Orbital Floor Fractures ◽  
Materials Used ◽  
Methods Of Treatment ◽  
Functional Problems

Abstract Orbital fractures commonly occur in maxillofacial trauma causing enophthalmos and diplopia. If not properly managed the cosmetic and functional problems can virtually become untreatable. In recent years, management of these fractures has been standardized with special emphasis on methods of treatment, timing and materials used for reduction.

scholarly journals Management of Orbital Floor Fractures: An Oculoplastic Surgeon's View

2014 ◽  
Vol 48 (2) ◽  
pp. 75-80
Author(s):  
Shaloo Bageja ◽  
Surbhi Arora ◽  
Ashok Kumar Grover
Keyword(s):  
Orbital Floor ◽  
Orbital Fractures ◽  
Le Fort ◽  
Treatment Timing ◽  
Common Presentation ◽  
Orbital Floor Fracture ◽  
Orbital Floor Fractures ◽  
Materials Used ◽  
Methods Of Treatment ◽  
Functional Problems

ABSTRACT Orbital fractures commonly occur in maxillofacial trauma causing enophthalmos and diplopia. The isolated orbital floor fracture often called as blow out fracture is a common presentation following blunt trauma. The floor fractures may also occur in combination with zygomatic arch fractures, Le Fort II or III or with fracture of other orbital bones. The cosmetic and functional problems can virtually become untreatable if floor fractures are not properly managed. In recent years, management of these fractures has been standardized with special emphasis on methods of treatment, timing and materials used for reduction. How to cite this article Arora S, Grover AK, Bageja S. Management of Orbital Floor Fractures: An Oculoplastic Surgeon's View. J Postgrad Med Edu Res 2014;48(2):75-80.

scholarly journals A Protocol to Reduce Interobserver Variability in the Computed Tomography Measurement of Orbital Floor Fractures

2015 ◽  
Vol 8 (4) ◽  
pp. 289-298 ◽  
Author(s):  
ChuanHan Ang ◽  
JinRong Low ◽  
JiaYi Shen ◽  
Elijah Zheng Yang Cai ◽  
Eileen Chor Hoong Hing ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Surface Area ◽  
Interobserver Variability ◽  
Intraclass Correlation ◽  
Orbital Floor ◽  
Orbital Fracture ◽  
Orbital Fractures ◽  
Fracture Detection ◽  
Orbital Floor Fractures

Orbital fracture detection and size determination from computed tomography (CT) scans affect the decision to operate, the type of surgical implant used, and postoperative outcomes. However, the lack of standardization of radiological signs often leads to the false-positive detection of orbital fractures, while nonstandardized landmarks lead to inaccurate defect measurements. We aim to design a novel protocol for CT measurement of orbital floor fractures and evaluate the interobserver variability on CT scan images. Qualitative aspects of this protocol include identifying direct and indirect signs of orbital fractures on CT scan images. Quantitative aspects of this protocol include measuring the surface area of pure orbital floor fractures using computer software. In this study, 15 independent observers without clinical experience in orbital fracture detection and measurement measured the orbital floor fractures of three randomly selected patients following the protocol. The time required for each measurement was recorded. The intraclass correlation coefficient of the surface area measurements is 0.999 (0.997–1.000) with p-value < 0.001. This suggests that any observer measuring the surface area will obtain a similar estimation of the fractured surface area. The maximum error limit was 0.901 cm2 which is less than the margin of error of 1 cm2 in mesh trimming for orbital reconstruction. The average duration required for each measurement was 3 minutes 19 seconds (ranging from 1 minute 35 seconds to 5 minutes). Measurements performed with our novel protocol resulted in minimal interobserver variability. This protocol is effective and generated reproducible results, is easy to teach and utilize, and its findings can be interpreted easily.

scholarly journals ORBITAL FLOOR RECONSTRUCTION WITH TRANS-ANTRAL APPROACH USING ENDOSCOPE

2020 ◽  
Vol 6 (1) ◽  
pp. 40-42
Author(s):  
RISHABH GIRI ◽  
Vikas Kunwar Singh ◽  
Ruchika Tiwari ◽  
Gaurang Thanvi
Keyword(s):  
Posterior Part ◽  
Good Alternative ◽  
Conventional Approach ◽  
Orbital Floor ◽  
Treatment Modalities ◽  
Orbital Fractures ◽  
Blowout Fracture ◽  
Orbital Floor Fractures ◽  
Orbital Floor Reconstruction ◽  
Endoscopic Assistance

Background and objective: Orbital floor fractures are very common in current day to day scenario. Till date different treatment modalities have been tried to reconstruct the orbital fractures. Conventionally various transorbital approaches have been used. But in cases where there is involvement of posterior part of orbit there is drawback of incomplete accessibility. To overcome this endoscopic assistance tends to get mandatory through trans-antral approach for better visualization, providing a good alternative to conventional approach. Case Report: A 55-year-old male patient with pure blowout fracture along with persistent diplopia and enophthalmos was operated with sub tarsal approach along with trans antral approach using endoscope. Result: The post-surgical results were satisfactory in respect to correction of diplopia and enophthalmos. Conclusion: Conventional approach assisted with endoscope provides a new method of managing Orbital floor fractures improving treatment outcomes.

Periorbital and Globe Injuries in Pediatric Orbital Fractures: A Retrospective Review of 116 Patients at a Level 1 Trauma Center

2020 ◽  
pp. 194338752093369
Author(s):  
Jordan Halsey ◽  
Marvin Argüello-Angarita ◽  
Osward Y. Carrasquillo ◽  
Ian C. Hoppe ◽  
Edward S. Lee ◽  
...  
Keyword(s):  
Retrospective Review ◽  
Trauma Center ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Orbital Floor ◽  
Orbital Fracture ◽  
Orbital Fractures ◽  
Orbital Floor Fractures ◽  
Level 1 ◽  
Level 1 Trauma Center

Study Design: Retrospective chart review of pediatric and globe injuries associated with orbital fractures.ObjectiveOur study seeks to examine these injuries and their association with orbital fractures at our trauma center to gain a better understanding of how to approach pediatric patients with orbital fractures. Methods: A retrospective review of all facial fractures in pediatric patients at an urban level 1 trauma center was performed for the years 2002 to 2014. Patient demographics were collected, as well as orbital fracture location, mechanism of injury, concomitant injuries, ophthalmologic documentation, imaging, and perioperative records. Results: One hundred sixteen pediatric patients over a 12-year period sustained an orbital fracture. The orbital floor was the most commonly fractured orbital bone in our series (60%). Thirty-four (30%) of the pediatric patients with orbital fractures had documented periorbital and/or globe injuries at the time of presentation. The most common periorbital injury was entrapment related to orbital floor fractures. Significant eyelid lacerations were present in seven patients, with five of these patients had canalicular injuries and two had canthal malposition. Five pediatric patients presented with traumatic optic neuropathy. Two patients had ruptured globes requiring enucleation. Conclusions: Periorbital soft tissue and globe injuries associated with orbital fractures occurs in a substantial number of pediatric patients. There are no guidelines for treatment of these type of injuries in the pediatric population. Further research should be performed to better understand the appropriate management of periorbital injuries in conjunction with surgical management of the orbital fractures

scholarly journals The use of reformatted Cone Beam CT images in assessing mid-face trauma, with a focus on the orbital floor fractures

2016 ◽  
Vol 89 (4) ◽  
pp. 519-524 ◽  
Author(s):  
Raluca Roman ◽  
Mihaela Hedeșiu ◽  
Floarea Fildan ◽  
Robert Ileșan ◽  
Diana Mitea ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Cone Beam Ct ◽  
Three Dimensional ◽  
Cone Beam ◽  
Orbital Floor ◽  
Trauma Patients ◽  
Orbital Fractures ◽  
Fracture Detection ◽  
Orbital Floor Fractures ◽  
Orbital Wall

Background and aim: This study aims at evaluating the reliability on specific multi-planar cone beam computer tomography (CBCT) reconstruction in the orbital floor fractures.Methods: CBCT examination of the mid-face fractures area involving the floor of the orbit was performed in a number of 93 trauma patients by two independent radiologists. Both radiologists assessed the axial, coronal and sagittal sections and also the oblique coronal and sagittal extracted sections evaluating the location of the orbital fractures, its size and displacement, the involvement of the infra-orbital foramen, herniation of fat or muscle within the maxillary sinus, the overall type of the fracture and the implication of lateral or medial orbital wall. We also registered the section that provided better confidence of both examiners in visualizing the fracture of the orbit floor and the presence of herniated soft tissue, on different reformatted sectioning.Results: The presence of pure fracture of the orbital floor was detected in 11% of patients. The association of the orbital fractures with the zygomatic fractures was identified in the majority of the patients. In 86% of patients the displacement of the floor of the orbit was visualized, and in almost 30% of cases more than 50% of the orbital floor was involved in the fracture. Regarding the confidence between examiners, they were more confident using the oblique sagittal CBCT reformatted images for fracture detection and bone displacement evaluation, as for the soft tissue herniation the oblique coronal sections provided the highest level of confidence.Conclusion: Mid-face trauma involves the orbital floor in the majority of situations. CBCT allows to obtain oblique images extracted from the three dimensional (3D) data that provide high confidence level in assessing pure orbital floor fractures.

Implant Materials Used for Orbital Floor Reconstruction

2020 ◽  
Vol 11 (1) ◽  
pp. 1266
Author(s):  
Mohamed Esmail Khalil ◽  
Mohamed Farag Khalil ◽  
Raafat Mohyeldeen Abdelrahman ◽  
Ahmed Mohamed Kamal Elshafei ◽  
Tamer Ismail Gawdat
Keyword(s):  
Orbital Floor ◽  
Implant Materials ◽  
Orbital Floor Reconstruction ◽  
Materials Used

scholarly journals Repair of Orbital Floor Fractures: Our Experience and New Technical Findings

2010 ◽  
Vol 3 (4) ◽  
pp. 217-221 ◽  
Author(s):  
Pasquale Piombino ◽  
Giorgio Iaconetta ◽  
Roberto Ciccarelli ◽  
Antonio Romeo ◽  
Alessia Spinzia ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Maxillofacial Surgery ◽  
Orbital Floor ◽  
Economic Costs ◽  
Orbital Floor Fractures ◽  
Computed Tomography Scans ◽  
Resorbable Materials ◽  
Preoperative Examination

We report our experience with the repair of the orbital floor fractures and present new technical findings. We evaluated 30 subjects with pure blowout fractures treated at the Department of Maxillofacial Surgery of the Federico II University of Naples, Italy, between 2005 and 2007. A preoperative examination by computed tomography scans provided classification of the orbital floor fractures into small and large fractures by measurement of the bone defect to choose the appropriate reconstructive implant materials, resorbable or nonresorbable. The clinical follow-up has been performed at 1 week, 1 month, 3 months, and 6 months. We observed a resolution of preoperative symptoms. The scar was not evident, and there was an absence of postoperative complications. We concluded that the use of resorbable materials for small orbital floor fractures and nonresorbable materials for large orbital floor fractures offers satisfactory results in both functional and aesthetic considerations. Furthermore, the new technical findings allow standardization of the surgical technique to be more accurate, also reducing the economic costs.

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