Orbital Floor Fracture Repair

Reconstruction of the orbital floor has to respect the course of the infraorbital nerve in the orbital floor.

Orbital floor fracture repair. More commonly titanium meshes porous polyethylene sheets or autologous bone grafts. However titanium meshes add to the cost of the surgery while bone graft requires additional graft donor site. Many fractures of the orbit a common occurrence with facial trauma never require surgery which is customarily performed in patients with restricted motility diplopia and enophthalmos.

The repair of the orbital floor fractures is not without risks which must be taken into consideration when surgery is decided as a treatment of choice. When it comes to surgical repair of orbital floor fractures the consensus among oculoplastic specialists is that less is often more. Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials.

Repair is typically via a transconjunctival approach with complete reduction of the orbital contents from the fracture site and placement of an alloplastic implant. A significant facial asymmetry imaging evidence of the fracture the age of the patient and clinical signs and symptoms are extremely important in determining the surgical indications. Titanium meshes and bone grafts are radiopaque.

Other indications vary but most surgeons will repair fractures within 2 weeks if one or more of the following criteria are met. Depending on the amount and severity of dislocation around the course of the infraorbital nerve decompression might be indicated.