Retroseptal Transconjunctival Approach to Orbital Floor Blowout Fracture

CSurgeries ◽  
2018 ◽  
Author(s):  
Jose Marchena
Keyword(s):  
Orbital Floor ◽  
Transconjunctival Approach ◽  
Blowout Fracture

scholarly journals Blowout Fracture in a 3-Year-Old

2013 ◽  
Vol 6 (2) ◽  
pp. 133-136 ◽  
Author(s):  
Britt I. Pluijmers ◽  
Maarten J. Koudstaal ◽  
Dion Paridaens ◽  
Karel G.H. van der Wal
Keyword(s):  
Young Children ◽  
Surgical Planning ◽  
Clinical Symptoms ◽  
Orbital Floor ◽  
Conservative Approach ◽  
Transconjunctival Approach ◽  
Blowout Fracture ◽  
Fractures In Children ◽  
Orbital Floor Fractures ◽  
Orbital Floor Reconstruction

A 3-year-old patient was referred to the oral and maxillofacial department with a fracture of the orbital floor. Due to the lack of clinical symptoms, a conservative approach was chosen. After 3 weeks, an enophthalmos developed. The orbital floor reconstruction was successfully performed through a transconjunctival approach. This case highlights the rarity of pure blowout fractures in young children. The specific presentation and diagnostics of orbital floor fractures in children and the related surgical planning and intervention are discussed.

scholarly journals Retroseptal Transconjunctival Approach for Blowout Fracture of the Orbital Floor

2016 ◽  
Vol 4 (5) ◽  
pp. e725 ◽  
Author(s):  
Tetsuji Uemura ◽  
Takahiro Chuman ◽  
Tatsuya Fujii ◽  
Aya Morikawa ◽  
Mamoru Kikuchi ◽  
...  
Keyword(s):  
Orbital Floor ◽  
Transconjunctival Approach ◽  
Blowout Fracture

scholarly journals Treatment for Blowout Fracture. Repair of Orbital Floor with Hydroxyapatite Plate.

1991 ◽  
Vol 84 (6) ◽  
pp. 755-761
Author(s):  
Yuji Kawamura ◽  
Yasushi Matsumoto ◽  
Hitomi Izumida ◽  
Michimune Kido
Keyword(s):  
Fracture Repair ◽  
Orbital Floor ◽  
Blowout Fracture

Preseptal transconjunctival approach for orbital floor fracture repair: ophthalmologic results in 209 patients

2006 ◽  
Vol 126 (4) ◽  
pp. 381-389 ◽  
Author(s):  
Frank Schmäl ◽  
Türker Basel ◽  
Ulrike H. Grenzebach ◽  
Oliver Thiede ◽  
Wolfgang Stoll
Keyword(s):  
Fracture Repair ◽  
Orbital Floor ◽  
Transconjunctival Approach ◽  
Orbital Floor Fracture

scholarly journals Reconstruction for Blowout Fracture of Orbital Floor by Combining Transantral and Infraorbital Approaches

2014 ◽  
Vol 53 (4) ◽  
pp. 547-553
Author(s):  
Norihiko Narita ◽  
Yosimasa Imoto ◽  
Masafumi Sakasita ◽  
Akihiro Kojima ◽  
Tetsuji Takabayasi ◽  
...  
Keyword(s):  
Orbital Floor ◽  
Blowout Fracture

scholarly journals Surgical treatment of orbital floor blowout fracture in children: A case report

2015 ◽  
Vol 72 (9) ◽  
pp. 841-844 ◽  
Author(s):  
Sasa Tabakovic ◽  
Ivana Ilic-Dimitrijevic
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Functional Results ◽  
Orbital Floor ◽  
Traumatic Lesion ◽  
Blowout Fracture ◽  
Orbital Floor Fracture ◽  
Aesthetic Appearance ◽  
Orbital Floor Reconstruction ◽  
Craniofacial Complex

Introduction. Orbital floor blowout fracture is a common traumatic lesion of the craniofacial complex, but rarely in children population, consequently representing challenge in surgical treatment. Timely diagnosis and surgical treatment prevent the probability of the occurrence of the functional complications. Case report. We presented surgical treatment of on 8-year-old girl with a blowout orbital floor fracture one month after the injury. The predominant symptoms were: ocular bulb motility disorder with consecutive strabismus and double vision. Orbital floor reconstruction was made by an autogenous mandibular symphyseal graft. A year after the orbital floor reconstruction additional correction of strabismus was performed due to functional disorder of the bulbomotor muscles. Conclusion. Delayed surgical treatment of blowout orbital floor fracture in children leads to unsatisfactory functional results in the majority of cases. In such a situation surgical correction of strabismus is necessary in order to obtain functionally quality vision and satisfactory aesthetic appearance.

scholarly journals STRABISMUS MANAGEMENT AFTER ORBITAL BLOWOUT FRACTURE

2021 ◽  
pp. 36-40
Author(s):  
Reena Gupta ◽  
Chekitaan Singh ◽  
Rohan Madan ◽  
Suma Ganesh
Keyword(s):  
Road Traffic ◽  
Motor Nerve ◽  
Rectus Muscle ◽  
Orbital Floor ◽  
Inferior Rectus ◽  
Presumptive Diagnosis ◽  
Blowout Fracture ◽  
Post Surgery ◽  
Orbital Floor Fractures ◽  
Inferior Rectus Muscle

Orbital floor fractures (OBF) account for 40% of mid-facial injuries and are therefore the most common of all trauma injuries in this region. The post-treatment complication that often follows orbital floor repair is residual diplopia or 1 persistent diplopia and is seen in 86% of the OBF cases. The causes for persistent diplopia can be varied and is often related to the degree of inflammation, trauma to 2 musculature, fat or nerves and surgical timing. Some of the common causes of the same are - malpositioning of the globe, fibrosis of the inferior fibro fatty muscular complex following trauma, direct damage to an extraocular muscle (commonly inferior rectus muscle), local injury to a motor nerve, ischemia (or compartment syndrome), iatrogenic damage during reconstructive surgery or entrapment under improperly placed alloplastic material. Our case report mentions a rare case of persistent vertical diplopia even after successful repair of orbital blowout fracture. A 15-year-old male patient following a road traffic accident presented with persistent headache and vertical diplopia. The patient was evaluated by a oral maxillofacial surgeon and a presumptive diagnosis of a case of large orbital floor fracture with entrapment of inferior rectus muscle was made which was confirmed on CT Scan. He was managed surgically by reduction of the fracture and fixation with a titanium mesh. 2 weeks post-surgery he reported to the squint clinic with complaints of persistent double vision. On comprehensive ocular examination, it was found that patient had vertical diplopia with limitation of infraduction in the left eye with negative FDT, on re-evaluation of MRI scans with 1 mm cuts, a partial left inferior rectus tear was seen and documented as the cause of persistent diplopia. Patient was treated conservatively by prescribing prismatic glasses with fusional exercises. After 6 months of follow up, the patient was relieved of diplopia in primary position but there was a residual hypotropia in downgaze for which he was prescribed prisms only for downgaze.

Transconjunctival Approach Using Lateral Skin Extension for Reconstruction of Orbit Zygomatic Complex Fractures: Technique Description and a Case Series Analysis

2020 ◽  
pp. 194338752097008
Author(s):  
Salvador Valladares Pérez ◽  
Diego Bustamante Correa ◽  
Carlos Cortez Fuentes ◽  
Felipe Astorga Mori ◽  
Gerson Sepúlveda Troncoso ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Case Series ◽  
Lateral Wall ◽  
Orbital Floor ◽  
Oral And Maxillofacial Surgery ◽  
Transconjunctival Approach ◽  
Unique Approach ◽  
Orbital Rim ◽  
Infraorbital Rim

Study Design: A descriptive-observational study of a series case report of patients diagnosed with orbito-zygomatic complex (OZMC) fracture with lateral wall involvement, was conducted. All patients were assessed in the Oral and Maxillofacial Surgery Service at Hospital El Carmen, Maipu, Santiago, Chile. Objective: The purpose of this study was to evaluate a single-institution experience with the transconjunctival approach to the orbit, utilizing a lateral skin extension as unique approach to access to fronto-zygomatic suture, infraorbital rim and/or orbital floor. Method: The authors identified 41 patients with OZMC fractures who underwent to surgical treatment over a 45 months period. Among this group, 21 patients needed fixation with osteosynthesis of the frontozygomatic suture, and 16 of whom were treated with the approach being studied. The authors assessed scleral exposure, eyelid position changes, ectropion, and entropion as outcome measures, and reported satisfactory outcomes at a minimum of 9 months follow-up. Conclusions: This study concludes that in our experience, the transconjunctival approach utilizing a lateral skin extension allows a direct, easy, and quick access to the entire infra orbital rim, orbital floor, fronto-zygomatic suture and lateral wall of the orbit, up to spheno-zygomatic suture, with low associated morbidity and complications.

Trapdoor Variety of Blowout Fracture of the Orbital Floor⋆

1965 ◽  
Vol 60 (2) ◽  
pp. 269-272 ◽  
Author(s):  
David B. Soll ◽  
Brooks J. Poley
Keyword(s):  
Orbital Floor ◽  
Blowout Fracture
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