Stephen J. Schueler, M.D.

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Orbital Blowout Fracture Treatment

The goal for treatment for a blowout fracture of the orbit is to preserve or restore the normal position of the bone and soft tissue. Treatment may require wound care if the skin has been broken. Most injuries do not require surgery, but severe fractures require surgery to realign bones and restore normal eye movement. The fractured bone usually heals within 4 to 6 weeks.

Treatment for a blowout fracture of the orbit may include:

  • Cold compresses
  • Acetaminophen for pain
  • Avoid aspirin and nonsteroidal anti-inflammatories:
    • May promote bleeding
  • Narcotic pain medication:
    • For moderate to severe pain
    • For short term use only
  • Wound irrigation
    • Rinsing the wound
  • Wound cleansing
  • Facial laceration repair
  • Antibiotics:
    • May help prevent an infection form bacteria in the sinuses
  • Nasal decongestant medications:
    • May reduce the risk of sneezing
    • The increased pressure can force air from the sinus into the soft tissue surrounding the eye
  • Surgery for orbital fracture
    • Blowout fractures that cause abnormal vision require surgery.
    • Surgery may be delayed until after the swelling subsides.

Orbital Blowout Fracture Questions For Doctor

The following are some important questions to ask before and after the treatment of a blowout fracture of the orbit.

Questions to ask before treatment:

  • What are my treatment options?
    • Is surgery an option for me?
  • What are the risks associated with treatment?
  • Do I need to stay in the hospital?
    • How long will I be in the hospital?
  • What are the complications I should watch for?
  • How long will I be on medication?
  • What are the potential side effects of my medication?
  • Does my medication interact with nonprescription medicines or supplements?
  • Should I take my medication with food?

Questions to ask after treatment:
  • Do I need to change my diet?
  • Are there any medications or supplements I should avoid?
  • When can I resume my normal activities?
  • When can I return to work?
  • Do I need a special exercise program?
  • Will I need physical therapy?
  • Will I need occupational therapy?
  • What else can I do to reduce my risk for having this injury again?
  • How often will I need to see my doctor for checkups?
  • What local support and other resources are available?

Orbital Blowout Fracture Specialist

Physicians from the following specialties evaluate and treat a blowout fracture of the orbit:

Continue to Orbital Blowout Fracture Home Care

Last Updated: May 12, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Orbital Blowout Fracture References
  1. Ikeda K, Suzuki H, Oshima T, Takasaka T. Endoscopic endonasal repair of orbital floor fracture. Arch Otolaryngol Head Neck Surg. 1999 Jan;125(1):59-63. [9932589]
  2. Klenk G, Kovacs A. Blow-out fracture of the orbital floor in early childhood. J Craniofac Surg. 2003 Sep;14(5):666-71. Review. [14501326]
  3. Otori N, Haruna S, Moriyama H. Endoscopic endonasal or transmaxillary repair of orbital floor fracture: a study of 88 patients treated in our department. Acta Otolaryngol. 2003 Aug;123(6):718-23. [12953771]
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