Equis ISSN 2398-2977

Orbit: fracture repair

Contributor(s): Dennis E Brooks, Graham Munroe

Introduction

  • Most orbital fractures are treated conservatively and heal well if:
    • They are stable.
    • Do not interfere with ocular structures.
    • Are cosmetically acceptable.
  • Severe comminuted or displaced fractures require surgical treatment.

Uses

  • Repair of severe, comminuted or displaced orbital fractures particularly where there is pressure on the globe, distortion of soft tissue surrounding the globe or poor cosmesis .

Advantages

  • Better cosmetic and functional result.

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Good: for cosmetic appearance and function for surgically repaired orbital/peri-orbital fractures but decreases with delay in repair.
  • Damage to other structures, eg neuropathies, globe trauma, nasolacrimal system, affect the prognosis.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Blogg J R et al (1990) Skull and orbital blow-out fractures in a horse. Equine Vet J Suppl 10, 5-7 PubMed.
  • Modransky P et al (1989) Management of facial injuries. Vet Clin North Am Equine Pract 5 (3), 665-682 PubMed.


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