by Beat Hammer
The term "orbital fracture" refers to any fracture that involves the bony cavity containing the eyeball. Such traumatic injuries of the ocular region are found in about 80% of cases of central facial fractures, and their spectrum ranges from a simple fracture of the cheek bone to a complex comminuted fracture of the orbit. The possible treatments begin with closed repositioning and end with extensive reconstructive surgery of the orbital region. The relatively recent introduction of new craniofacial or maxillofacial surgery techniques has resulted in considerable advances in both the primary management of severe orbital injuries as well as the treatment of posttraumatic deformities. This unique book is clearly not only essential reading in the specific field of orbital and oculoplastic surgery, but will also be of great practical value to all those working in cranial and maxillofacial trauma and plastic and reconstructive surgery, as well as to otolaryngologists, ophthalmologists, and radiologists.
From the Contents
- Surgical Anatomy of the Orbit
- The orbital fissures
- The orbital connective tissue system
- Anatomic basis of post-traumatic enophthalmos
- Diagnosis and Classification
- Fracture patterns and their classification
- Classification of orbito-zygomatic fractures
- Classification of naso-orbito-ethmoid fractures
- Internal orbital fracture patterns
- Associated injuries in orbital fractures
- Plain radiographs
- CT examination
- Other imaging techniques
- Ophthalmic Aspects
- Visual impairment
- Management of traumatic visual loss
- Visual loss following fracture repair
- Diagnosis and documentation
- Conservative Treatment
- Review of patients with primary repair
- Patient population
- Fracture patterns and associated injuries
- Operative treatment
- Review of patients with secondary corrections
- Patient population and type of deformities
- Surgical treatment
- Surgical Management of Orbital Fractures
- Bone graft harvesting of the calvarium
- Repositioning of soft tissues with suspension sutures
- Orbito-zygomatic fractures
- Nonfragmented orbito-zygomatic fractures
- Fragmented orbito-zygomatic fractures
- Naso-orbito-ethmoid fractures
- Management of the central fragment
- Naso-orbito-ethmoid fracture-related problems
- Sequence of operative steps in naso-orbito-ethmoidal fracture repair
- Fractures in the internal orbit
- Linear fractures
- Complex orbital wall defects
- Surgical technique for the repair of complex orbital Fractures
- Secondary Corrections
- Principles of corrective surgery
- Skeletal reconstruction
- Soft tissue repositioning
"The text of this book is based on his experiences from operating on over 500 traumas within the last five years, and this means that the examination techniques and management used are more homogeneous than in a practice that is spread over one or two generations...
"The surgical indications are based on common sense... [and] it will be noticed how scrupulous the analysis of results is and how comprehensive the sections on complications. In addition, the sketches and drawings have been done by the author himself, who has found a graphical means of expression ideally suited to the orbital area."
From the Foreword by Paul Tessier, Paris, France.
This book could be entitled: "e;Everything You Wanted and Needed to Know about Orbital Fractures."e;
Jeffrey L Marsh, MD, Plastic & Reconstructive Surgery 97 (May 1996).
"...This text is an excellent introduction for any trainee surgeon with an interest in this fascinating field; for experienced surgeons it is a stimulus to continue to seek better results. It should also be a model for other authors to produce single author, concentrated texts which are based on both experience and supported by the ‘hard facts’ in the form of comprehensive database analysis and consistent, standardised illustrations."
Reviewed by T J Malins, Consultant Oral and Maxillofacial Surgeon, North Staffordshire Hospital, Stoke on Trent, in the Annals of the Royal College of Surgeons of England 79 (1) 80 (1997)
"The best part of this book, without doubt, is the illustrations. Splendid color photographs, excellent diagrams, and superb reproductions of CT scans and radiographs make it very easy for the reader to follow the text."
Paul Stoelinga, reviewed in International Journal of Oral Maxillofacial Surgery 26, 75 (1997)