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Review Article| Volume 29, ISSUE 1, P29-39, March 2021

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Ongoing Debate in Clinical Decision Making in Orbital Fractures

Indications, Timing, and Biomaterials
Published:January 02, 2021DOI:https://doi.org/10.1016/j.cxom.2020.10.004
      Trapdoor fracture in children, globe dislocation or trapdoor fracture with a nonresolving oculocardiac reflex, bradycardia, heart block, nausea, vomiting, or syncope are indications for immediate surgery.

      Keywords

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      References

        • Cornelius C.P.
        • Mayer P.
        • Ehrenfeld M.,
        • et al.
        The orbits-anatomical features in view of innovative surgical methods.
        Facial Plast Surg. 2014; 30: 487-508
        • Koornneef L.
        • Los J.A.
        A new anatomical approach to the human orbit.
        Mod Probl Ophthalmol. 1975; 14: 49-56
        • Schaller A.
        • Huempfner-Hierl H.
        • Hemprich A.
        • et al.
        Biomechanical mechanisms of orbital wall fractures – a transient finite element analysis.
        J Craniomaxillofac Surg. 2013; 41: 710-717
        • Dubois L.
        • Steenen S.A.
        • Gooris P.J.J.
        • et al.
        Controversies in orbital reconstruction - I. Defect-driven orbital reconstruction: a systematic review.
        Int J Oral Maxillofac Surg. 2015; 44: 308-315
        • Gooris P.J.J.
        • Muller B.S.
        • Dubois L.
        • et al.
        Finding the ledge: sagittal analysis of bony landmarks of the orbit.
        J Oral Maxillofac Surg. 2017; 75: 2613-2627
        • Jansen J.
        • Dubois L.
        • TJJ Maal
        • et al.
        A nonsurgical approach with repeated orthoptic evaluation is justified for most blow-out fractures.
        J Craniomaxillofac Surg. 2020; 48 (Mar 30:S1010-5182(20)30077-9): 560-568
        • Dubois L.
        • Steenen S.A.
        • Gooris P.J.J.
        • et al.
        Controversies in orbital reconstruction - II. Timing of post-traumatic orbital reconstruction: a systematic review.
        Int J Oral Maxillofac Surg. 2015; 44: 433-440
        • Christensen B.J.
        • Zaid W.
        Inaugural survey on practice patterns of orbital floor fractures for American oral and maxillofacial surgeons.
        J Oral Maxillofac Surg. 2016; 74: 105-122
        • Aldekhayel S.
        • Aljaaly H.
        • Fouda-Neel O.
        • et al.
        Evolving trends in the management of orbital floor fractures.
        J Craniofac Surg. 2014; 25: 258-261
        • Gunarajah D.R.
        • Samman N.
        Biomaterials for repair of orbital floor blowout fractures: a systematic review.
        J Oral Maxillofac Surg. 2013; 71: 550-570
        • Tang D.T.
        • Lalonde J.F.
        • Lalonde D.H.
        Delayed immediate surgery for orbital floor fractures: less can be more.
        Can J Plast Surg. 2011; 19: 125-128
        • Manson P.N.
        • Grivas A.
        • Rosenbaum A.
        • et al.
        Studies on enophthalmos: II. The measurement of orbital injuries and their treatment by quantitative computed tomography.
        Plast Reconstr Surg. 1986; 77: 203
        • Raskin E.M.
        • Millman A.L.
        • Lubkin V.
        • et al.
        Prediction of late enophthalmos by volumetric analysis of orbital fractures.
        Ophthal Plast Reconstr Surg. 1998; 14: 19
        • Burnstine M.A.
        Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis.
        Ophthalmology. 2002; 109: 1207-1210
        • Ploder O.
        • Klug C.
        • Backfrieder W.
        • et al.
        2D- and 3D-based measurements of orbital floor fractures from CT scans.
        J Craniomaxillofac Surg. 2002; 30: 153-159
        • Choi S.H.
        • Kang D.H.
        Prediction of late enophthalmos using preoperative orbital volume and fracture area measurements in blowout fracture.
        J Craniofac Surg. 2017; 28: 1717-1720
        • Schönegg D.
        • Wagner M.
        • Schumann P.
        • et al.
        Correlation between increased orbital volume and enophthalmos and diplopia in patients with fractures of the orbital floor or the medial orbital wall.
        J Craniomaxillofac Surg. 2018; 46: 1544-1549
        • Ahmad Nasir S.
        • Ramli R.
        • Abd Jabar N.
        Predictors of enophthalmos among adult patients with pure orbital blowout fractures.
        PLoS One. 2018; 13: e0204946
        • Goggin J.
        • Jupiter D.C.
        • Czerwinski M.
        Simple computed tomography-based calculations of orbital floor fracture defect size are not sufficiently accurate for clinical use.
        J Oral Maxillofac Surg. 2015; 73: 112
        • Dubois L.
        • Jansen J.
        • Schreurs R.
        • et al.
        How reliable is the visual appraisal of a surgeon for diagnosing orbital fractures?.
        J Craniomaxillofac Surg. 2016; 44: 1015-1024
        • Alinasab B.
        • Ryott M.
        • Stjarne P.
        Still no reliable consensus in management of blow-out fracture.
        Injury. 2014; 45: 197-202
        • Tahiri Y.
        • Lee J.
        • Tahiri M.
        • et al.
        Preoperative diplopia: the most important prognostic factor for diplopia after surgical repair of pure orbital blowout fracture.
        J Craniofac Surg. 2010; 21: 1038-1041
        • Su Y.
        • Shen Q.
        • Lin M.
        • et al.
        Predictive factors for residual diplopia after surgical repair in pediatric patients with orbital blowout fracture.
        J Craniomaxillofac Surg. 2016; 44: 1463-1468
        • Alhamdani F.
        • Durham J.
        • Greenwood M.
        • et al.
        Diplopia and ocular motility in orbital blow-out fractures: 10-year retrospective study.
        J Craniomaxillofac Surg. 2015; 43: 1010-1016
        • Bianchi F.
        • De Haller R.
        • Steffen H.
        • et al.
        Does vertical incomitance predict the diplopia outcome in orbital fracture patients? A prospective study of 188 patients.
        J Craniomaxillofac Surg. 2019; 47: 305-310
        • Hwang K.
        • Huan F.
        • Hwang P.J.
        Diplopia and enophthalmos in blowout fractures.
        J Craniofac Surg. 2012; 23: 1077-1082
        • Safi A.F.
        • Richter M.T.
        • Rothamel D.
        • et al.
        Influence of the volume of soft tissue herniation on clinical symptoms of patients with orbital floor fractures.
        J Craniomaxillofac Surg. 2016; 44: 1929-1934
        • Zimmerer R.M.
        • Ellis E.
        • Aniceto G.S.
        • et al.
        A prospective multicenter study to compare the precision of posttraumatic internal orbital reconstruction with standard preformed and individualized orbital implants.
        J Craniomaxillofac Surg. 2016; 44: 1485-1497
        • Hawes M.J.
        • Dortzbach R.K.
        Surgery on orbital floor fractures. Influence of time of repair and fracture size.
        Ophthalmology. 1983; 90: 1066-1070
        • Kunz C.
        • Sigron G.R.
        • Jaquiéry C.
        Functional outcome after nonsurgical management of orbital fractures - the bias of decision-making according to size of defect: critical review of 48 patients.
        Br J Oral Maxillofac Surg. 2013; 51: 486-492
        • Beigi B.
        • Khandwala M.
        • Gupta D.
        Management of pure orbital floor fractures: a proposed protocol to prevent unnecessary or early surgery.
        Orbit. 2014; 33: 336-342
        • Scawn R.L.
        • Lim L.H.
        • Whipple K.M.
        • et al.
        Outcomes of orbital blow-out fracture repair performed beyond 6 weeks after injury.
        Ophthal Plast Reconstr Surg. 2016; 32: 296-301
        • Dubois L.
        • Steenen S.A.
        • Gooris P.J.J.
        • et al.
        Controversies in orbital reconstruction - III. Biomaterials for orbital reconstruction: a review with clinical recommendations.
        Int J Oral Maxillofac Surg. 2016; 45: 41-50
        • Cordewener F.W.
        • Bos R.R.
        • Rozema F.R.
        • et al.
        Poly(ll-lactide) implants for repair of human orbital floor defects: clinical and magnetic resonance imaging evaluation of long-term results.
        J Oral Maxillofac Surg. 1996; 54: 9-14
        • Van Leeuwen A.
        • Ong S.H.
        • Vissink
        • et al.
        Reconstruction of orbital wall defects: recommendations based on a mathematical model.
        Exp Eye Res. 2012; 97: 10-18
        • Everhard-Halm Y.S.
        • Koornneef L.
        • Zonneveld F.W.
        Conservative therapy frequently indicated in blow-out fractures of the orbit.
        Ned Tijdschr Geneeskd. 1991; 135: 1226-1228