Pearls of orbital trauma management

Semin Plast Surg. 2010 Nov;24(4):398-410. doi: 10.1055/s-0030-1269769.


Orbital fractures account for a significant portion of traumatic facial injuries. Although plastic surgery literature is helpful, additional pearls and insights are provided in this article from the experience of an oculoplastic surgeon. The fundamentals remain the same, but the perceptions differ and provide a healthy perspective on a long-standing issue. The most important thing to remember is that the optimal management plan is often variable, and the proper choice regarding which plan to choose rests upon the clinical scenario and the surgeon having an honest perception of his or her level of expertise and comfort level.

Keywords: Orbital fractures; ectropion; enophthalmos; entrapment; facial trauma; lateral orbital wall; lower; medial orbital wall; orbital floor; orbital roof; orbitozygomatic fractures.