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
Hauptverfasser: Cole, Patrick, Boyd, Vincent, Banerji, Soumo, Hollier, Larry H.
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container_end_page 63S
container_issue 7 Suppl 2
container_start_page 57S
container_title Plastic and reconstructive surgery (1963)
container_volume 120
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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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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