Pearls and Pitfalls in Orbital Fracture Repair

The position and movement of the globe are affected by the osseous confines of the orbit, multiple supporting ligaments, and the intraorbital fat. Orbital fractures can disrupt these structures leading to diplopiaOrbital fracturesdiplopia and cosmetic deformitiesOrbital fracturescosmetic deformities. Therefore, clinical and radiographic findings drive indications for surgical intervention. Orbital fractures can be repaired in acute or subacute phasesOrbital fracturesacute or subacute phases. However, inadequate reduction of herniated orbital contents or implant malpositionOrbital fracturesherniated orbital contents or implant malposition may worsen the functional and cosmetic outcomesOrbital fracturesfunctional and cosmetic outcomes requiring a revision procedure. A complete understanding of the deep orbit anatomyOrbital fracturesdeep orbit anatomy and intraoperative imagingOrbital fracturesintraoperative imaging can prevent these errors. The purpose of this chapter is to review pearls and pitfalls in orbital fracture repair.