Decision-making in treatment of orbital fractures presents challenges during every stage, including diagnostics, the choice to operate, the operative approach, the choice of reconstructive material and assessment of outcomes. This session will cover key examination maneuvers to accurately diagnose orbital compartment syndrome and entrapment, as well as recommendations for assessing diplopia and enophthalmos. Timing of operative interventions will be discussed, including reasons for prompt versus delayed repair and when ophthalmologic coordination is appropriate. The session will explore the pros and cons of transorbital versus transantral approaches, risk factors for intraoperative difficulty and tips to minimize complications in operative repair. The advantages and disadvantages of various materials for repair, including prefabricated versus patient-specific implants, also will be reviewed.
Learning Objectives:
At the conclusion of this presentation, participants should be able to:
Describe key examination findings indicative of orbital compartment syndrome and entrapment.
Recognize indications and expectations for access using transantral and transorbital approaches.
Predict risk factors for intraoperative difficulty.
Explain the different implant types available for orbital reconstruction and reasons to choose one versus another.
.jpg "Akshay Govind, DMD, MD, MPH, FACS (he/him/his) photo")