Orbital Fracture

A surgical repair to expose the site, free prolapsed tissue, and reconstruct orbital wall support. 

01 - Patient Setup

Pre-op Meds: 10 mg decadron, 1 gram ancef, (600 mg clinda if PCN allergic)

Anesthesia:  General, oral tube

Patient position: Supine 

Bed position: Bed turned 90° (surgeon on patient R side)

DVT ppx:  Compression boots on - working BEFORE induction of anesthesia

Side Table: None

Lights: Headlight

Power: Drill, Stryker plating system, Stryker polyethylene orbital floor implant (in room, do not open unless asked by surgeon)

Bovie Settings: Colorado tip, set to 10/10

Preinjection: 1% lidocaine w 1/100k epinephrine

Prep:  Betadine paint

Drapes:  4 towels around face + split sheet

Instrument sets:  FFX Stryker trauma set, GUH Plastics set

03 - Post-Op Information

Admission status: 23 hour obs

Estimated time: 90 min

Coding: 802.6, 21390 or w/ malar fracture 21365

Post-op wound care:  Ice to orbit 24 hrs, ophthalmic ointment to incisions

Post-op activity restrictions:  Reduce heavy activity for 2 wks

Follow up:  1 wk