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Management of orbital fractures: challenges and solutions

Authors Boyette J, Pemberton J, Bonilla-Velez J

Received 2 September 2015

Accepted for publication 29 September 2015

Published 17 November 2015 Volume 2015:9 Pages 2127—2137

DOI https://doi.org/10.2147/OPTH.S80463

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Jie Zhang

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Jennings R Boyette,1 John D Pemberton,2 Juliana Bonilla-Velez1

1Department of Otolaryngology-Head and Neck Surgery, 2Department of Ophthalmology, University of Arkansas for Medical Sciences, Little Rock, AR, USA

Abstract: Many specialists encounter and treat orbital fractures. The management of these fractures is often challenging due to the impact that they can have on vision. Acute treatment involves a thorough clinical examination and management of concomitant ocular injuries. The clinical and radiographic findings for each individual patient must then be analyzed for the need for surgical intervention. Deformity and vision impairment can occur from these injuries, and while surgery is intended to prevent these problems, it can also create them. Therefore, surgical approach and implant selection should be carefully considered. Accurate anatomic reconstruction requires complete assessment of fracture margins and proper implant contouring and positioning. The implementation of new technologies for implant shaping and intraoperative assessment of reconstruction will hopefully lead to improved patient outcomes.

Keywords: orbital fracture, orbital blowout, orbital floor

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