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Orbital Injury – Anatomical Based Reconstruction

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Oculoplastic, Lacrimal and Orbital Surgery

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Abstract

Orbital trauma is common following a variety of mechanisms of injury and produces stereotypical fracture patterns with predictable short, medium and long term signs and symptoms. Long term complications of these injuries include diplopia, orbital dystopia, and enophthalmos, these can be minimised by rapid and accurate diagnosis and anatomical repair.

The chapter discusses the aetiology of these injuries together with presenting features which indicate definitive radiological investigation and to definitively diagnose and treatment plan management. The selection of reconstructive material is discussed according to risk adjusted indications. The complexity of the surgical intervention has led to the development of several technical innovations such as prefabricated titanium plates, computer aided design plates, endoscopic assistance and surgical navigation. These are discussed. Post operative recovery and review strategy according to injury pattern is also considered.

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Author information

Authors and Affiliations

  1. Maxillofacial Unit, University of Naples Federico II, Naples, Italy

    Paola Bonavolontà

  2. Department of Ophthalmology, Hospital Universitario Virgen de las Nieves., Granada, Spain

    Santiago Ortiz Pérez

  3. Department of Surgery, University of Granada - Instituto de Investigación Biosanitaria ibs.GRANADA , Granada, Spain

    Santiago Ortiz Pérez

  4. Orbital Center, Department of Maxillofacial Surgery, Erasmus MC, Rotterdam, The Netherlands

    Cornelia Caron & Maarten Koudstaal

  5. Department of Oral and Maxillofacial Surgery, Barts Health NHS Trust, London, UK

    Simon Holmes

Authors
  1. Paola Bonavolontà
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  2. Santiago Ortiz Pérez
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  3. Cornelia Caron
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  4. Maarten Koudstaal
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  5. Simon Holmes
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Corresponding author

Correspondence to Simon Holmes .

Editor information

Editors and Affiliations

  1. Oftalmoplastica Roma, Roma, Italy

    Francesco M. Quaranta Leoni

  2. Moorfields Eye Hospital, London, UK

    David H Verity

  3. Rotterdam Eye Hospital, Rotterdam, The Netherlands

    Dion Paridaens

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© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Bonavolontà, P., Pérez, S.O., Caron, C., Koudstaal, M., Holmes, S. (2024). Orbital Injury – Anatomical Based Reconstruction. In: Quaranta Leoni, F.M., Verity, D.H., Paridaens, D. (eds) Oculoplastic, Lacrimal and Orbital Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-39638-0_31

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  • DOI: https://doi.org/10.1007/978-3-031-39638-0_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-39637-3

  • Online ISBN: 978-3-031-39638-0

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