Orbital floor fracture repair might be indicated in this setting for small or medium sized defects.
Ct scan orbital floor plate.
These plates consist of implants that closely approximate the topographical anatomy of the human orbital floor and medial wall and are intended for use in a selective craniomaxillofacial trauma.
Plate borders medial wall orbital floor designed from ct scan data the three dimensional implants closely approximate the topographical anatomy of the hu man orbital floor and medial wall to provide accurate recon struction even after significant two wall fractures 5 6 preformed three dimensional shape.
Silicone implants are 440 hu whereas in one study pmma implants were 135 hu 24.
Epidemiology the blowout fracture is t.
Orbital blowout fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact.
This is typically caused by a direct blow to the central orbit from a fist or ball.
Universal 1 2 upper face module laser etched to aid in plate identification plate holding forcep plate holding forceps utilizes two pins to stabilize plate.
Appropriate timing is based on the clinical exam and imaging.
Materials such as silicone and pmma have been in use for over 30 years and are radiopaque fig 11.
Computed tomography ct is the primary modality for assessing orbital soft tissue and bony injury in the emergency setting.
Functional endoscopic sinus surgery was performed to drain the maxillary mucocele and 50 ml of thick yellow mucus was expressed which was sent to pathology.
The arrow indicates the buttress of the transition zone between medial orbital wall and orbital floor.
A coronal ct scan of a left maxillary mucocele eroding through the orbital floor and medial antral wall.
We use ct scan data to design the titantium implants to approximate the anatomy of the orbital floor and medial wall.
Concomitant medial orbital wall fracture can increase risk of progressive enophthalmos.
Coronal slice of a ct scan shows a non affected left orbit with normal anatomy of the transition zone.
Ct scanning of the orbits is very quick which significantly reduces motion artifacts.
We then cover the implant with our proven medpor biomaterial to minimize sharp edges even if the plate requires modification.
The following discussion assumes a volume ct technique using a multidetector scanner when referring to ct.
The matrixmidface preformed orbital plates are designed from ct scan data.
Coronal slice of a postoperative ct scan taken after transconjunctival repair of the complete left medial orbital wall and orbital floor.
