Pearls and pitfalls in orbital fracture repair
The position and movement of the globe are affected by the osseous confines of the orbit, multiple supporting ligaments, and the intraorbital fat. Orbital fractures can disrupt these structures leading to diplopia Orbital fractures diplopia and cosmetic deformities Orbital fractures cosmetic deformities . Therefore, clinical and radiographic findings drive indications for surgical intervention. Orbital fractures can be repaired in acute or subacute phases Orbital fractures acute or subacute phases . However, inadequate reduction of herniated orbital contents or implant malposition Orbital fractures herniated orbital contents or implant malposition may worsen the functional and cosmetic outcomes Orbital fractures functional and cosmetic outcomes requiring a revision procedure. A complete understanding of the deep orbit anatomy Orbital fractures deep orbit anatomy and intraoperative imaging Orbital fractures intraoperative imaging can prevent these errors. The purpose of this chapter is to review pearls and pitfalls in orbital fracture repair.
