Isolated orbital blowout fractures: survey and review

Management of an Isolated Orbital Blow-out Fracture

“…Some authors suggest that surgical exploration can be obviated in case of diplopia which resolves within 14 days unless extensive bony wall defect is detected [6]. Another school advocates waiting period of 4-6 months prior to undertaking surgical exploration while others recommend early surgical intervention [7]. We preferred early surgical intervention because the defect was large as well as the Force duction test was positive, which denoted definite entrapment of the peri-orbital content, indicating fibrosis, though some workers achieved good result performing surgery even after 4-6 weeks of injury.…”

“…The basic objective of reconstruction of orbital defect is to restore orbital volume, function and aesthetics [5,7]. To reconstruct the defect of the orbital floor, various autogenous as well as allogenic and alloplastic material have been used with their merits and demerits.…”

General medicine and surgery for dental practitioners Part 4: Neurological disorders

“…Diplopia or double vision may occur after a 'blowout' fracture of the orbital floor 3 or injury to cranial nerves III, IV and VI. Transient visual disturbance may occur secondary to local anaesthetic that has tracked to the inferior orbital fissure.…”

The custom-made titanium orbital floor prosthesis in reconstruction for orbital floor fractures

“…The range of implant material in reconstruction following blow out fracture of the orbit is extensive and the decision as to which material is used remains debated 1 .…”

“…Autologous materials offer clear advantages with cartilage, calvarial bone, antral bone, rib and ilium described 1 . These grafts offer uncertain longevity and carry with them donor site morbidity.…”