Management of orbital fractures

Motor vehicle accidents have a high association with orbital injuries. A thorough clinical examination is essential, especially an ophthalmic examination. Radiographic analysis is an important aspect of diagnosis. Plain films can be obtained emergently, but high resolution CT scans with axial and coronal planes provide more accurate information. Zygomatic complex fractures are the most common injuries involving the orbits, with naso-orbito-ethmoid fractures and internal orbital fractures following. Autogenous bone, allografts, or synthetic material can be used for repair of defects located in the anterior or middle part of the orbital floor. Multi-team approach is important in the comprehensive management of these complex injuries.