You may need surgery if the fracture results in bone fragments, trapped eye muscles, or injuries that affect appearance. The prognosis for most orbital fractures is good. Even orbital fractures that require surgery have a high success rate and a low risk of complications or adverse side effects.
Symptoms vary depending on the severity of the injury and the type of fracture, but include:
Orbital Floor Fractures
An orbital fracture is when there is a break in one of the bones surrounding the eyeball (called the orbit, or eye socket). Usually this kind of injury is caused by blunt force trauma, when something hits the eye very hard.
Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. More commonly, titanium meshes, porous polyethylene sheets, or autologous bone grafts. Titanium meshes and bone grafts are radiopaque.
An orbital fracture occurs when one or more of the bones around the eyeball break, often caused by a hard blow to the face. To diagnose a fracture, ophthalmologists examine the eye and surrounding area. X-ray and computed tomography scans may also be taken.
The floor of the orbit consists of three bones: the maxillary bone, the palatine bone, and the orbital plate of the zygomatic bone. This part of the orbit is also the roof of the maxillary sinus.
The adult orbital floor is composed of the maxillary, zygomatic, and palatine bones (see image below). The orbital floor is the shortest of all the walls; it does not reach the orbital apex, measures 35-40 mm, and terminates at the posterior edge of the maxillary sinus.
Medial orbital wall blow out fractures, by definition is a pure internal fracture confined to the orbital wall without involvement of orbital rim. Two theories have been proposed to explain how these fractures occur, the hydraulic or buckling mechanisms.
The main cause of an orbital socket fracture is a hard hit to your face. This can be from a ball, fist, steering wheel, or anything else that hits you in the face with a lot of force and leads to a fractured orbital bone.
skullBy definition, the orbit (bony orbit or orbital cavity) is a skeletal cavity comprised of seven bones situated within the skull. The cavity surrounds and provides mechanical protection for the eye and soft tissue structures related to it.
Fracture of orbit, unspecified, initial encounter for closed fracture 1 S02.85XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Fracture of orbit, unspecified, init 3 The 2021 edition of ICD-10-CM S02.85XA became effective on October 1, 2020. 4 This is the American ICD-10-CM version of S02.85XA - other international versions of ICD-10 S02.85XA may differ.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
The principles of multiple coding of injuries should be followed in coding fractures. Fractures of specified sites are coded individually by site nd the level of detail furnished by medical record content.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
S02.32XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG).
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S02.32XS its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Face injuries and disorders can cause pain and affect how you look. In severe cases, they can affect sight, speech, breathing and your ability to swallow. Fractures (broken bones), especially in the bones of your nose, cheekbone and jaw, are common facial injuries.
Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the shape of facial structures. Specialty: Emergency Medicine. 1865 illustration of a private injured in the American Civil War by a shell two years previously. Source: Wikipedia.
The ICD code S023 is used to code Facial trauma. Facial trauma, also called maxillofacial trauma, is any physical trauma to the face. Facial trauma can involve soft tissue injuries such as burns, lacerations and bruises, or fractures of the facial bones such as nasal fractures and fractures of the jaw, as well as trauma such as eye injuries.