The management of orbital trauma from the maxillofacial point of view

Abstract

Trauma to the orbital region can consist of soft tissue lesions, fractures or a combination of both. the fractures can be isolated orbital fractures or part of Lefort III and II fractures. the aim of the treatment is functional and esthetic restoration. Our experience is based upon 759 patients with 944 fractured orbits. of these, 681 patients were operated. the indications, timing and technique of the operations are discussed. Solid reconstruction of the orbital frame with coverage of wall defects with autogenous bonegrafts is advocated. the soft tissue lesions must be repaired meticulously. Complications have been fairly rare.