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Orbital Floor and Medial Wall Fractures

  • William R. Nunery
  • H. B. Harold Lee
  • Christopher Compton
  • Roxana Fu
Chapter

Abstract

Fractures to the orbit and midface are a significant source of ocular morbidity. The safe and effective repair of these fractures hinges on the approach that provides optimal exposure and implant selection with low complication rates. The lateral and medial canthal approach to the orbit is discussed, along with the use of nonadherent orbital implants.

Keywords

Floor fractures Medial wall fractures Fractures of the zygoma Lateral canthal approach Medial canthal approach 

Notes

Acknowledgments

Funded in part by Research to Prevent Blindness, New York, NY.

Supplementary material

419986_5_En_6_MOESM1_ESM.mp4 (113.4 mb)
Video 6.1 Orbital floor fracture repair with placement of a porous polyethylene titanium implant. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/orb-floor-repair-porous-implant.htm (MP4 116142 kb)
419986_5_En_6_MOESM2_ESM.mp4 (155.1 mb)
Video 6.2 Repair of orbital floor fracture using headlight mounted cam. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/repair-orb-floor-headlight-cam.htm (MP4 158780 kb)
419986_5_En_6_MOESM3_ESM.mpeg
Video 6.3 Repair of orbital floor fracture. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/atlas-video/floor-fracture-1.htm (MPEG 125868 kb)
419986_5_En_6_MOESM4_ESM.mpeg
Video 6.4 Repair of orbital floor fracture. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/atlas-video/floor-fracture-2.htm (MPEG 218214 kb)
419986_5_En_6_MOESM5_ESM.mp4 (61.7 mb)
Video 6.5 Orbital floor fracture repair with placement of Supramid implant. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/repair-orb-floor-Supremid.htm (MP4 63141 kb)
419986_5_En_6_MOESM6_ESM.mp4 (77.8 mb)
Video 6.6 Repair of orbital floor fracture without canthotomy/cantholysis. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/repair-orb-floor-no-cantho.htm (MP4 79654 kb)

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • William R. Nunery
    • 1
  • H. B. Harold Lee
    • 2
  • Christopher Compton
    • 3
  • Roxana Fu
    • 4
  1. 1.Department of OphthalmologyUniversity of LouisvilleLouisvilleUSA
  2. 2.Department of OphthalmologySt. Vincent Hospital and IU Methodist HospitalIndianapolisUSA
  3. 3.Department of Ophthalmology and Visual SciencesUniversity of LouisvilleLouisvilleUSA
  4. 4.Department of OphthalmologyUniversity of Louisville HospitalIndianapolisUSA

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