53453 - Orbital Wall or Floor Reconstruction

The need for reconstruction of an orbital cavity wall or floor arises when a patient sustains trauma or pathology—such as an orbital floor fracture or tumour resection—causing eye displacement, double vision, or structural collapse, necessitating surgical rebuilding under anesthesia with assistance in a hospital, with or without a foreign implant, to restore orbital integrity and eye function. This procedure is indicated for orbital defects, critical in the maxillofacial region where orbital support affects vision and aesthetics.

Several scenarios necessitate this intervention:

• Orbital floor fracture: A blowout fracture from a punch might displace the eye, needing reconstruction to lift it back into position.
• Tumour resection: Removal of an orbital mass could leave a defect, requiring an implant to restore the wall or floor.
• Double vision: Muscle entrapment in a fractured floor causes diplopia, prompting surgical repair to free the muscle and stabilise the orbit.
• Facial aesthetics: A sunken eye from a collapsed orbit affects appearance, needing reconstruction to restore symmetry.

For example, a patient with an orbital floor fracture from a sports injury might undergo reconstruction with a synthetic implant to correct eye position, with the assistant aiding in precise placement. In an aged care setting, an elderly patient with a traumatic orbital defect could benefit from this to restore vision, adjusted for their frailty. By rebuilding the orbital wall or floor, this service restores eye function, corrects deformity, and enhances aesthetics, making it an essential procedure for orbital reconstruction within the maxillofacial framework.

Restores orbital integrity, corrects eye position, and improves vision and aesthetics.

Recovery of 4-6 weeks with swelling, eye care, and monitoring; hospital stay required.