Comprehensive Management of Orbital Fractures
Orbital fractures are some of the more challenging injuries faced by the plastic surgeon. As such a prominent facial feature, even the most minor asymmetries following trauma can be distressing to the patient. In treating these patients, there are certain crucial aspects of both diagnosis and manage...
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Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2007-12, Vol.120 (7 Suppl 2), p.57S-63S |
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container_issue | 7 Suppl 2 |
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container_title | Plastic and reconstructive surgery (1963) |
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creator | Cole, Patrick Boyd, Vincent Banerji, Soumo Hollier, Larry H. |
description | Orbital fractures are some of the more challenging injuries faced by the plastic surgeon. As such a prominent facial feature, even the most minor asymmetries following trauma can be distressing to the patient. In treating these patients, there are certain crucial aspects of both diagnosis and management that are critical to obtaining an optimal result. These include a careful preparative eye examination focusing on extraocular motility and any evidence of optic nerve compression. Candidates for surgery must be carefully selected based on firm indications such as a large orbital floor defect (>1 cm2), early enophthalmos, significant hypoglobus, or persistent diplopia in the primary field of gaze. Reconstruction should focus on anatomical restitution of the floor, taking great care to place the implant along the correct superior inclination of the orbit. |
doi_str_mv | 10.1097/01.prs.0000260752.20481.b4 |
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As such a prominent facial feature, even the most minor asymmetries following trauma can be distressing to the patient. In treating these patients, there are certain crucial aspects of both diagnosis and management that are critical to obtaining an optimal result. These include a careful preparative eye examination focusing on extraocular motility and any evidence of optic nerve compression. Candidates for surgery must be carefully selected based on firm indications such as a large orbital floor defect (>1 cm2), early enophthalmos, significant hypoglobus, or persistent diplopia in the primary field of gaze. Reconstruction should focus on anatomical restitution of the floor, taking great care to place the implant along the correct superior inclination of the orbit.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/01.prs.0000260752.20481.b4</identifier><identifier>PMID: 18090729</identifier><language>eng</language><publisher>United States: American Society of Plastic Surgeons</publisher><subject>Acute Disease ; Enophthalmos - diagnosis ; Enophthalmos - etiology ; Entropion - diagnosis ; Entropion - etiology ; Entropion - surgery ; Humans ; Ocular Motility Disorders ; Orbital Fractures - complications ; Orbital Fractures - diagnostic imaging ; Orbital Fractures - surgery ; Reconstructive Surgical Procedures - methods ; Surgical Mesh ; Titanium - therapeutic use ; Tomography, X-Ray Computed</subject><ispartof>Plastic and reconstructive surgery (1963), 2007-12, Vol.120 (7 Suppl 2), p.57S-63S</ispartof><rights>American Society of Plastic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3628-5f396b834bec911c07a84c93dd8209e959816af506b4370171b95266d329485b3</citedby><cites>FETCH-LOGICAL-c3628-5f396b834bec911c07a84c93dd8209e959816af506b4370171b95266d329485b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18090729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cole, Patrick</creatorcontrib><creatorcontrib>Boyd, Vincent</creatorcontrib><creatorcontrib>Banerji, Soumo</creatorcontrib><creatorcontrib>Hollier, Larry H.</creatorcontrib><title>Comprehensive Management of Orbital Fractures</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>Orbital fractures are some of the more challenging injuries faced by the plastic surgeon. As such a prominent facial feature, even the most minor asymmetries following trauma can be distressing to the patient. In treating these patients, there are certain crucial aspects of both diagnosis and management that are critical to obtaining an optimal result. These include a careful preparative eye examination focusing on extraocular motility and any evidence of optic nerve compression. Candidates for surgery must be carefully selected based on firm indications such as a large orbital floor defect (>1 cm2), early enophthalmos, significant hypoglobus, or persistent diplopia in the primary field of gaze. Reconstruction should focus on anatomical restitution of the floor, taking great care to place the implant along the correct superior inclination of the orbit.</description><subject>Acute Disease</subject><subject>Enophthalmos - diagnosis</subject><subject>Enophthalmos - etiology</subject><subject>Entropion - diagnosis</subject><subject>Entropion - etiology</subject><subject>Entropion - surgery</subject><subject>Humans</subject><subject>Ocular Motility Disorders</subject><subject>Orbital Fractures - complications</subject><subject>Orbital Fractures - diagnostic imaging</subject><subject>Orbital Fractures - surgery</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Surgical Mesh</subject><subject>Titanium - therapeutic use</subject><subject>Tomography, X-Ray Computed</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFUMtOwzAQtBCIlsIvoIgDt4T1MzY3VFFAKuoFzpaTbGggj2InVPw9oa3UPexKo9mZ0RByQyGhYNI7oMnGhwTGYQpSyRIGQtMkEydkSiUzsWCCnZIpAGcxBckm5CKETwCaciXPyYRqMJAyMyXxvGs2HtfYhuoHo1fXug9ssO2jroxWPqt6V0cL7_J-8BguyVnp6oBXhzsj74vHt_lzvFw9vcwflnHOFdOxLLlRmeYiw9xQmkPqtMgNLwrNwKCRRlPlSgkqEzwdU9HMSKZUwZkRWmZ8Rm73uhvffQ8YettUIce6di12Q7BqTC-pUSPxfk_MfReCx9JufNU4_2sp2P-yLNARCvZYlt2VZUfnGbk-uAxZg8Xx9dDOSBB7wrare_Thqx626O0aXd2vd5JKchEzgJSOi8X_kOZ_EAlz-A</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>Cole, Patrick</creator><creator>Boyd, Vincent</creator><creator>Banerji, Soumo</creator><creator>Hollier, Larry H.</creator><general>American Society of Plastic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20071201</creationdate><title>Comprehensive Management of Orbital Fractures</title><author>Cole, Patrick ; Boyd, Vincent ; Banerji, Soumo ; Hollier, Larry H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3628-5f396b834bec911c07a84c93dd8209e959816af506b4370171b95266d329485b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acute Disease</topic><topic>Enophthalmos - diagnosis</topic><topic>Enophthalmos - etiology</topic><topic>Entropion - diagnosis</topic><topic>Entropion - etiology</topic><topic>Entropion - surgery</topic><topic>Humans</topic><topic>Ocular Motility Disorders</topic><topic>Orbital Fractures - complications</topic><topic>Orbital Fractures - diagnostic imaging</topic><topic>Orbital Fractures - surgery</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>Surgical Mesh</topic><topic>Titanium - therapeutic use</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cole, Patrick</creatorcontrib><creatorcontrib>Boyd, Vincent</creatorcontrib><creatorcontrib>Banerji, Soumo</creatorcontrib><creatorcontrib>Hollier, Larry H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cole, Patrick</au><au>Boyd, Vincent</au><au>Banerji, Soumo</au><au>Hollier, Larry H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comprehensive Management of Orbital Fractures</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>120</volume><issue>7 Suppl 2</issue><spage>57S</spage><epage>63S</epage><pages>57S-63S</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>Orbital fractures are some of the more challenging injuries faced by the plastic surgeon. 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subjects | Acute Disease Enophthalmos - diagnosis Enophthalmos - etiology Entropion - diagnosis Entropion - etiology Entropion - surgery Humans Ocular Motility Disorders Orbital Fractures - complications Orbital Fractures - diagnostic imaging Orbital Fractures - surgery Reconstructive Surgical Procedures - methods Surgical Mesh Titanium - therapeutic use Tomography, X-Ray Computed |
title | Comprehensive Management of Orbital Fractures |
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