- Prof. Yueh-Bih Tang
- Division of Plastic Surgery, National Taiwan University Hospital, Taipei, Taiwan.
Special Issue Introduction
Orbital / periorbital fracture will bring about different degree of facial deformities and functional impairment, the worst being blindness. The orbit involves frontal bone, nasal bone, lacrimal bone, ethmoid bone, sphenoid bone, maxilla, and zygoma. The bony orbit is a special dome structure with a fragile paper thin bone at the orbital floor. It’s a common occurence that the orbital floor being broken with a blow, resulting in diplopia and enophthalmos. Comminuted fracture of the fronto-naso-orbital area is also frequently seen, resulting in flattened and widened nose, telecanthus, with significant orbital and facial deformities. Tripod or comminuted fracture of the zygoma may result in orbital volume change with improper reduction and leave the afflicted eye with enophthalmos with ptosis.
With the advent of 3D CT reformation imaging system, clear demonstration of the fracture site and morphology can be shown in detail, which gave enough information to the plastic surgeons for possible anatomical restorations. Recent employment of navigation system during operation might be expected to add advantages to the exact execution of the procedure. Although current reconstruction tools — plate and screw system, absorbable or no-absorbable, have been used to correct those anatomically deranged, however, there are still secondary deformities remained.
Precise, anatomical restoration of the orbital, periorbital fractures is an important subject, we sincerely invite specialist from all over the world to contribute their valuable experience in this special edition on "Management and Accurate and Anatomic Reconstruction of Orbital Fractures".
KeywordsOrbital / periorbital fracture, facial deformities, zygoma, orbital volume, comminuted fracture, plastic surgeons, anatomical restorations, reconstruction tools, secondary deformities
Submission Deadline15 Aug 2020