Traumas such as orbital fractures can affect the integrity and functionality of our eyes, putting our vision and quality of life at risk. In these cases, orbital fracture surgery becomes a crucial solution for restoring health and aesthetics to the orbital area.

Orbital fracture surgery is a complex surgical procedure aimed at repairing fractures of the eye socket, the bony structure that surrounds and protects the eye. This type of surgery is especially necessary in cases of anophthalmia (absence of an eye) or in orbital fractures that cause enophthalmos, the abnormal retraction of the eye into the orbit.

Objectives of the Surgery:

The main objective of this surgery is to restore the volume and proper position of the orbit, thereby recovering both its functionality and aesthetics. This will allow for:

  • Improving Vision: An orbit with its correct bony structure protects the eye and its internal components, allowing for optimal vision.
  • Correcting Enophthalmos: Repositioning the eye to its natural position eliminates the appearance of a sunken eye and improves facial aesthetics.
  • Protecting Ocular Tissues: An intact orbit protects the eye from external damage, reducing the risk of complications and vision loss.

Implants for Reconstruction:

To achieve orbital restoration, the surgery may use different types of implants:

  • Autologous: Obtained from the same patient, such as fat, bone, cartilage, etc.
  • Heterologous: Synthetic materials like Gore-Tex, PTFE, or silicone.

Surgical Procedure:

Orbital fracture surgery is a complex procedure that requires detailed planning and precise execution. It is performed under general anesthesia and may involve accessing the orbit through skin or intranasal incisions, depending on the nature of the fracture and the patient’s needs.

During the surgery, the surgeon will reconfigure the fractured bones of the orbit and place the appropriate implants to restore the correct volume and position. This may involve reconstructing the bony structure, replacing many tissues, such as muscles and blood vessels, and correcting any associated deformities.