How should orbital fracture be treated?

summary

If visual acuity, diplopia and enophthalmos occur after orbital fracture, surgery should be performed in time. It will affect our normal life. The appropriate operation period is about one week after the injury. Because the tissue swelling of the injured area does not disappear in the early operation, and the injured part has been malposition and healed or formed scar in the late operation, it is difficult to achieve satisfactory results. Now I'd like to introduce how to treat orbital fracture

How should orbital fracture be treated?

First, the purpose of the operation is to reset the incarcerated eyeball muscle tissue and fat, restore the orbital volume and eye movement, and improve the eyeball lacuna and diplopia.

Second: postoperative care: 24 hours after operation, the eye was given ice compress, the patient took a flat position, closed his eyes slightly, wrapped a dry towel outside the ice bag, and put it on the wound dressing to avoid frostbite. Early postoperative ice compress can quickly cool the local wound and reduce eye swelling.

Third, we should pay attention to whether the dressing is loose, displaced, whether there is oozing blood, oozing fluid and so on after the operation. Ask patients not to squeeze eyes, rub eyes, do not do strenuous exercise, do not untie the bandage at will, in order to avoid infection. Generally, the instruments, dressings and drugs used in dressing change should be sterile. Remember that patients with diabetes should change dressing every day.

matters needing attention

① Early operation can release the embedded or trapped soft tissues (fat, extraocular muscles, ligaments) as soon as possible to avoid or greatly reduce the occurrence of ischemia, scar formation, necrosis and atrophy; ② The early operation of compound orbital fracture can easily reset and fix the displaced fracture block, and the operation effect is good; ③ Early operation can reduce the pressure of infraorbital nerve and prevent the occurrence of sensory disturbance in the distribution area of infraorbital nerve; ④ Early orbital floor exploration can make the false negative cases of clinical examination get timely treatment; ⑤ Early operation has good effect in function and beauty, less complications, and avoids late operation with poor effect.