Trauma (Orbit)

Question 1

how big of an orbital floor defect warrants surgical repair? Length and volume

Answer 1

3cm

1.5cm^3

Question 2

what 2 anatomical areas do you need to restore with surgery in the orbit?

Answer 2

Antral buldge- posteriomedial

Ethmoidal buldge- inferomedial

Question 3

what incision (name) can be used to access the ZM intraorally that can help when reducing OZMC fx’s?

Answer 3

Keen incision

Question 4

why do we make the incision as close to the fornix of eye as possible in a transconj approach?

Answer 4

to limit the chances for entropion which can happen with a transconj approach

Question 5

3 important things to order for after orbital fracture is seen

Answer 5

Sinus precautions
Antibiotics for sinus involvement
afrin nasal spray

these need to be ordered after surgical repair as well