ORBITAL FRACTURES

WHATS AN ORBITAL FRACTURE?

• caused by high- speed blunt force to the globe
• portion of the globe may extrude into the nasal sinus
• globe can be displaced posteriorly.

PROCEDURE

• ORIF
• reduce a fracture of the orbital floor
• prevent entrapment of the extraocular muscles
• support the orbital contents

TECHNIQUE

• subciliary or a transconjunctival incision is made
• the orbit is exposed
• fractures are reduced and repaired
• Incision is closed

PREP AND DRAPE

• patient is positioned and prepped as for a facial fracture.
• ophthalmic ointment may be placed in the eyes before the skin prep.

INSTRUMENTS

• corneal protectors
• # 15 blade
• brain spatula retractors
• freer elevator
• orbital floor plate

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