Michael Jason Reiter DO, Presenter: Nothing to Disclose

Ryan Becton Schwope MD, Abstract Co-Author: Nothing to Disclose

Jonathan Kini, Abstract Co-Author: Nothing to Disclose

Jared Theler, Abstract Co-Author: Nothing to Disclose

The major teaching points of this exhibit are: 1. Repair of orbital fractures is unique and differs from the management of other facial or extremity injuries in that surgery is not performed in an attempt to achieve osseous healing. Rather, the goal of surgery is simply to repair the defect and restore structural support of the orbit. 2. Placement of an implant is often necessary to span the osseous defect 3. Generally, at least 3 of the 4 articulations that comprise ZMC injuries must be treated intraoperatively to accurately reduce comminuted fractures. 4. Complications encountered after repair include failed reconstruction due to improper alignment, infection, retrobulbar hemorrhage, and orbital emphysema.  

1. Highlight the indications for surgical intervention of orbital fractures a. Orbital floor b. Medial wall c. Orbital roof d. Zygomaticomaxillary complex (ZMC) 2. Illustrate the various operative approaches for repair a. Orbital floor b. Medial wall c. Orbital roof d. ZMC 3. Discuss the goals of surgical repair and the desired CT appearance in the postoperative setting a. Overview b. Orbital floor c. Medial wall d. ZMC 4. Common complications a. Failed repair b. Hemorrhage c. Infection d. Orbital emphysema

http://abstract.rsna.org/uploads/2014/14001141/14001141_e1q1.pdf

Reiter, M, Schwope, R, Kini, J, Theler, J, CT of the Postoperative Orbital Wall Following Trauma: Review of Normal Appearances and Common Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001141.html