Orbital Fracture Reconstruction Using Prebent, Anatomic Titanium Plates: Technical Tips to Avoid Complications

Chad A. Purnell*, Elbert E. Vaca, Marco Fredrick Ellis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Orbital fractures are common. In patients where there is significant loss of the medial wall and orbital floor, anatomic prebent 3-dimensional plates allow efficacious restoration of orbital volume. However, the large size of these plates can result in technical difficulties with plate placement, especially in fractures with complete loss of 2 walls of the orbit. In this article, the authors review the pertinent anatomy of the bony orbit with respect to fracture and landmarks in fracture reduction. The authors also note the 3 most commonly encountered problems with the placement of anatomic plates: poor exposure, failure to identify the posterior ledge for the plate, and rotational issues with plate placement resulting in impingement. Technical tips are given to help overcome these issues intraoperatively.

Original languageEnglish (US)
Pages (from-to)e515-e517
JournalJournal of Craniofacial Surgery
Volume29
Issue number5
DOIs
StatePublished - Jul 1 2018

Keywords

  • Blowout fracture
  • facial trauma
  • medial wall fracture
  • orbital anatomy
  • orbital floor fracture
  • orbital fracture
  • titanium plate

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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