21407 Open treatment of fracture of orbit, except blowout; with implant

Name of the Procedure:

Open Treatment of Fracture of Orbit, Except Blowout; With Implant

Summary

This surgical procedure involves the repair of a fractured orbital bone (eye socket) with the placement of an implant, excluding blowout fractures. It helps to restore the normal structure and function of the orbit.

Purpose

This procedure addresses fractures of the eye socket that cannot be treated with non-surgical methods. The goal is to properly align the bones, prevent complications, and restore normal appearance and function of the eye and surrounding structures.

Indications

• Traumatic injury to the orbital bones
• Displaced or unstable orbital fractures
• Impaired ocular function
• Double vision (diplopia)
• Cosmetic deformities

Preparation

• Fasting for at least 8 hours prior to the surgery
• Adjustments or discontinuation of certain medications as advised by the doctor
• Preoperative imaging (CT scans or X-rays) to assess the extent of the fracture
• Blood tests and overall health assessment

Procedure Description

1. The patient is administered general anesthesia.
2. An incision is made near the affected area to access the fracture.
3. The fractured bone segments are carefully aligned.
4. An implant, usually made of materials like titanium, is placed to support the bone and ensure proper healing.
5. The incision is closed with sutures.
6. The area is dressed and covered with a sterile bandage.

Duration

The procedure typically takes 1-3 hours depending on the complexity of the fracture.

Setting

This procedure is performed in a hospital or surgical center equipped with advanced surgical facilities.

Personnel

• Orthopedic or maxillofacial surgeon
• Anesthesiologist
• Surgical nurse
• Operating room technician

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Scarring
• Temporary or permanent vision changes
• Implant displacement or rejection
• Anesthesia-related risks

Benefits

• Correct alignment of the orbital bones
• Improved ocular function and appearance
• Prevention of long-term complications
• Restoration of normal eye movement and vision
• Reduction in pain and discomfort

Recovery

• Postoperative care includes pain management and antibiotics to prevent infection.
• Instructions to keep the head elevated and avoid heavy lifting or strenuous activities.
• Follow-up appointments for monitoring healing and possible imaging.
• Most patients recover within 4-6 weeks, with some restrictions lasting longer.

Alternatives

• Non-surgical management with rest and observation for minor fractures
• Less invasive surgical techniques if applicable
• Each alternative comes with its own set of risks and benefits that should be considered and discussed with a healthcare provider.

Patient Experience

During the surgery, the patient will be under general anesthesia and will not feel pain. Post-surgery, some discomfort, swelling, and bruising are common and managed with prescribed medications. Most patients report improvement in symptoms and function within weeks after surgery, though full recovery times can vary.