Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Dec;120(7 Suppl 2):57S-63S.
doi: 10.1097/01.prs.0000260752.20481.b4.

Comprehensive management of orbital fractures

Patrick Cole  1 , Vincent Boyd, Soumo Banerji, Larry H Hollier Jr
Affiliations

Comprehensive management of orbital fractures

Patrick Cole et al. Plast Reconstr Surg. 2007 Dec.

Abstract

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.

PubMed Disclaimer

References

    1. Fonseca, R. J. Oral and Maxillofacial Trauma. St. Louis: Elsevier Saunders, 2005.
    1. Cruz, A., and Eichenberger, G. Epidemiology and management of orbital fractures. Curr. Opin. Ophthalmol. 15: 416, 2004.
    1. Kelley, P., Crawford, M., Higuera, S., and Hollier, L. H. Two hundred ninety-four consecutive facial fractures in an urban trauma center: Lessons learned. Plast. Reconstr. Surg. 116: 42e, 2005.
    1. Shere, J. L., Boole, J. R., Holtel, M. R., and Amoroso, P. J. An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States army soldiers, 1980–2000. Otolaryngol. Head Neck Surg. 130: 164, 2004.
    1. Kraus, J. F., Rice, T. M., Peek-Asa, C., and McArthur, D. L. Facial trauma and the risk of intracranial injury in motorcycle riders. Ann. Emerg. Med. 41: 18, 2003.