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Orbital floor fractures--should they be explored early?
Plastic and Reconstructive Surgery
|August 1, 1979
Summary
Early signs of orbital floor fractures like double vision and infraorbital rim step-off indicate a need for surgical exploration. Prompt surgical intervention using silicone sheeting led to minimal complications in patients with orbital floor fractures.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Maxillofacial Surgery
Background:
- Orbital floor fractures are common facial injuries.
- Accurate diagnosis and timely management are crucial for optimal outcomes.
Purpose of the Study:
- To correlate early clinical findings with late results in orbital floor fractures.
- To evaluate the efficacy of surgical exploration and silicone sheeting placement.
Main Methods:
- Retrospective review of 100 consecutive orbital floor fracture cases.
- Analysis of admission symptoms and signs compared to late outcomes.
- Surgical exploration and silicone sheeting for specific indications.
Main Results:
- Early indicators such as diplopia, infraorbital rim step-off, and infraorbital hypesthesia suggested malar bone involvement.
- Surgical exploration and silicone sheeting placement for these findings resulted in minimal complications.
Conclusions:
- Early clinical signs are valuable predictors for surgical intervention in orbital floor fractures.
- Surgical management with silicone sheeting is a safe and effective treatment option, leading to favorable outcomes.