53455 - Orbital Graft Reconstruction

The need for a bone or cartilage graft to the orbital wall or floor, including reduction of prolapsed or entrapped orbital contents, arises when a patient sustains a severe orbital fracture or defect—often from trauma—causing prolapse of orbital fat or muscle entrapment, resulting in eye displacement or vision issues, necessitating surgical grafting under anesthesia with assistance in a hospital to rebuild the orbit and reposition its contents. This procedure is indicated for complex orbital injuries, critical in the maxillofacial region where orbital support affects eye function and appearance.

Specific conditions driving this need include:

• Blowout fracture: A forceful impact fracturing the orbital floor might prolapse fat or trap muscles, needing a graft to rebuild and free the contents.
• Traumatic defect: A shattered orbital wall could displace the eye, requiring cartilage to restore structure and position.
• Double vision: Entrapped muscles causing diplopia prompt grafting and reduction to correct eye movement.
• Aesthetic collapse: A sunken eye from orbital loss needs reconstruction to regain facial symmetry.

For instance, a patient with an orbital floor fracture from a car accident might undergo this with a bone graft to lift prolapsed contents and correct vision, with the assistant ensuring graft precision. In an aged care context, an elderly patient with a traumatic orbital injury could benefit from this to restore eye position, adjusted for their frailty. By grafting and reducing contents, this service restores orbital function, corrects vision, and enhances aesthetics, making it a critical procedure for severe orbital injuries within the maxillofacial framework.

Restores orbital function, corrects vision, and improves facial symmetry.

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