Doctor insights on:
Do You Have To Stay In The Hospital Overnight After Orbital Fracture Surgery
Not usually: Generally, fixing an orbital fracture is a pretty quick procedure where you can go home the same day. You should expect some swelling for a day or two, but it tends to go down pretty quickly. Pain is also quite manageable, making this a very reasonable outpatient procedure. ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Orbital Fracture: Greetings. By definition an orbital fracture with entrapment becomes a surgical consideration in the right patient. First you would need to have double vision with upward gaze. Also your eye movements would need to be limited because of the fracture limiting muscle movement. A CT image is usually needed prior to surgery. Finally seeing an experienced board certified surgeon is recommended. GL ...Read more
Is a headache normal after having surgery on a orbital fracture? How long before the pain goes away?
Common: Surgery has been done on an area of your body, the orbit, which is richly innervated with pain and other sensory fibers. These were disturbed in the injury and in the surgery and it will take a little while for it to feel normal. Your surgeon has probably prescribed something to deal with moderate pain, but if the pain is excruciating, contact the surgeon. ...Read more
What I if choose not to get the surgery for orbital fracture/entrapment? What are the long-term downsides?
Diploplia: If there;s entrapment, eventually there could be double vision, pain, and restrictive movement of the eyeball. It would be strongly recommended. However, if there is no entrapment, then it depends on the risk of entrapment occurring... ...Read more
No: Most likely not. Numbness is most likely due to involvement of the infraorbital nerve, which provides sensation to the front part of your cheek. Depending on when your injury took place, will most likely resolve with tincture of time, though some folks will always have some area of numbness. ...Read more
Swelling, bruising..: Depending on the type of fracture, you may have double vision, orbital pain, swelling, bruising and eye irritation for the sutures and numbness in the face and teeth. All of these should resolve with time, although some may be permanent, especially if present before surgery. ...Read more
Swelling/Irritation: After surgery for an orbital fracture, most patients will experience swelling, bruising, and irritation. These are typically short lived. Because these surgeries involve work around delicate structures of the eye, your surgeon will likely follow you closely initially to make sure there is not a reduction of vision as this may suggest compromise to the blood supply to the eye. ...Read more
Rapidly: The facial area is well vascularized and a good blood supply enhances healing. Facial fractures, even which requiring surgical assistance heal rapidly, generally over a period of 1-3 weeks. There can be some minor symptoms which last several months related to re-organization of the disrupted nervous system in the injured area. ...Read more
Black eye: Depends on extent of fracture and complications if any. ...Read more
Lubricating drops: Use an over the counter lubricating drop such as systane or optive. ...Read more
Childrens hospital specialist will check eye socket fracture; will it be a plastic surgeon or eye doctor?
Both?: Plastic surgeons have expertise in evaluating and repairing fractures of the facial bones, including the eye socket. Ophthalmologists (eye doctors) may evaluate the eyeball of an injured child with an eye socket fracture if there is any question about injury to the eyeball, itself, which can happen at the same time. Good luck. ...Read more
Varies by location: Orbital fracture is a vague term which includes several types of fractures. Symptoms could include double vision, blurry vision, pain, nose bleed, air in the orbit or cheek, etc. Some orbital fractures are basically without symptoms. You should be checked out by your eye md if you have any vision issues and see a ENT or plastic surgeon that treats facial fractures. ...Read more
No but other issues: It won't kill you to not repair an orbit fracture but you could have other problems. Unrepaired orbit fractures can lead to permanent double vision or cause the eye to sink down or back into the head. All eye socket fractures should be carefully evaluated by an eye doctor and a facial surgeon who does facial fracture repairs. ...Read more
I had a orbital fracture repaired 4 months ago. My cheek is still swollen, (appears puffy). Is this normal? If so, how long will it persist?
Hmmmm: After 4 months the swelling should be gone. I would rescan and see if anything else is going on ...Read more
Probably: Subcutaneous emphysema is a sign of a fracture of the orbit into one of the sinuses. A history of trauma to the bones of the orbit proceeding the symptom is consistent with this. If this occurs without trauma some type of bone erosion is occurring possibly neoplastic. An exam and possible surgical repair are indicated. ...Read more
Depends where it is: Any injury to the eye socket bones can be serious. Not all require surgical repair but it is essential that you have a complete eye exam to be sure there is no injury inside the eye. The decision on whether the fracture needs surgery depends on where it is, how large it is and whether it affects the nerves or muscle around the eye. ...Read more
How can a repaired orbital fracture that happened 8 years ago, give me problems now with tingling and numbness?
Orbital fracture: Sensory nerves travel along some bones of the orbit, mainly the infraorbital nerve which travels in the orbital floor and exits under the eye to supply sensation to the cheek, lower eyelid, and upper teeth on that side. The orbital floor is commonly fractured, leading to numbness. However, if a plate was placed to support the floor, it might be shifting and impinging on the nerve. Get it checked. ...Read more
I have an orbital fracture and have diplopia on downward gaze which hasn't improved for over 3 weeks. Is this normal?
Not normal: If you have an orbital fracture and now you are seeing double (diplopia) then you probably have an entrapped eye muscle. You need to see an Ear/Nose/Throat doctor as soon as possible. ...Read more
Diplopia: Depending on extent of fracture, usually diplopia resolves with time. ...Read more
Depends: Usually, yes. But it depends where the orbit is fractured. ...Read more
See below: An orbital fracture is a break in any one of the bones that make the eye socket (better known as the "orbit".). ...Read more
Maybe nothing: If you have no symptoms or enophthalmos do nothing. The biggest symptom will be double vision. If no Diplopia and they eyes appear symmetric do nothing. ...Read more
Short term: These injuries heal. Once healed, unless significant additional injuries occurred, you should be back to full activity. ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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