This is the most frequent orbital wall fracture pattern leading to functional and aesthetic problems. The clinician should address the combined deformity. Anatomical plates facilitate the reconstruction of the defect.
The decision to perform open treatment or to observe is based on thorough clinical and radiographic (CT) evaluation.
|Non- or minimally displaced fractures without orbital deformity and intact ocular motility.|
|Standard method of treatment for the repair of critical sized orbital wall defects.|
- Significant internal orbital defects proven by imaging
- Disturbances of eye mobility that are the result of incarceration of ocular muscles
- Exophthalmos secondary to blow-in fractures
- Severe ocular trauma such as a rupture of the globe, hyphema, retinal detachment, traumatic optic nerve lesions, or other severe globe injury may necessitate delay of orbital wall repair.
- General patient condition not allowing surgery
- Orbital fracture in the only seeing eye (relative contraindication)
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|