Chapter

Adult orbital wall fracture repair

Richard Burnham

in Challenging Concepts in Oral and Maxillofacial Surgery

Published on behalf of Oxford University Press

Published in print April 2016 | ISBN: 9780199653553
Published online April 2016 | e-ISBN: 9780191761409 | DOI: http://dx.doi.org/10.1093/med/9780199653553.003.0006

Series: Challenging Concepts

Adult orbital wall fracture repair

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The orbit, consisting of the outer frame and inner pyramidal vault, provides support and protection for the orbital contents. Any disruption to this structure may result in the loss of normal binocular vision. We present a case of a fracture of the orbital floor and medial orbital wall. The chapter discusses current thinking on the paradigm shift from ‘safe distances’ to the use of anatomical structures within the orbit to guide reconstruction. Emphasis is placed on the early diagnosis of orbital compartment syndrome that represents a maxillofacial emergency and requires expedient surgical treatment. The close liaison with ophthalmology and orthoptic colleagues is also vital in order to achieve optimum outcomes.

Chapter.  3829 words.  Illustrated.

Subjects: Oral and Maxillofacial Surgery

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