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Bilateral orbital floor fractures.

I M Nielsen, P Vibe, M Andersen

    Scandinavian Journal of Plastic and Reconstructive Surgery
    |January 1, 1985
    PubMed
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    Severe midfacial fractures often involve orbital floor damage. Prompt surgical repair and routine orbital floor exploration are recommended for patients with combined maxillary and zygomatic fractures.

    Area of Science:

    • Maxillofacial Surgery
    • Ophthalmology
    • Trauma Surgery

    Background:

    • Orbital floor fractures are common sequelae of severe midfacial trauma.
    • Accurate assessment and timely intervention are crucial for optimal outcomes.

    Purpose of the Study:

    • To evaluate the incidence of orbital floor deficiency in patients with severe comminuted midfacial fractures.
    • To determine the association between orbital floor defects and specific fracture patterns.
    • To recommend management strategies for these complex injuries.

    Main Methods:

    • Retrospective analysis of 19 patients undergoing surgery for suspected bilateral orbital floor fractures.
    • Detailed examination of fracture patterns, including maxillary and zygomatic involvement.
    • Assessment of orbital floor integrity and need for reconstructive grafting.

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    Main Results:

    • All 19 patients presented with severe comminuted midfacial fractures.
    • Orbital floor deficiency requiring transplantation was identified in 68% of cases.
    • A strong correlation was observed between orbital floor defects and homolateral maxillary and zygomatic fractures.

    Conclusions:

    • Acute repositioning of midfacial fractures is essential.
    • Routine exploration of the orbital floor is indicated in cases of deficiency requiring transplantation.
    • Combined maxillary and zygomatic fractures warrant thorough orbital floor assessment.