Orbital Fractures

Orbital fractures are very common. There is an increasing frequency of orbital fractures being repaired. Orbital fractures are becoming frequently more common in older individuals who may fall and suffer a trauma to the region of their eye.

By nature of the design of the globe and bony orbital frame, the bone tends to fracture first to prevent damage to the eye itself. Repair of the bony defect is often required for greater than 1 square cm defects and/or defects comprising greater than 50% of the floor of the orbit.

Smaller orbital floor defects are often repaired with ear cartilage harvested from the ear, while larger defects or defects of the orbital rim often require repair with titanium mesh or porous polyethylene.

Brian P. Dickinson, M.D.

http://www.drbriandickinson.com/

Journal of Craniofacial Surgery Publication

I am honored to be published in the Journal of Craniofacial Surgery with surgeons who are pioneers and leaders in the field. It is a great and unique opportunity to be able to contribute to Plastic & Reconstructive Surgery research with one of my greatest mentors in the field, Dr. Malcolm A. Lesavoy.

Facial Trauma: Cards from Family Members

Facial trauma and facial fractures are surgical procedures I enjoy, as I find the anatomy fascinating and I enjoy continually trying to improve ways in which to conceal scars. The one aspect that I appreciate the most about my profession, are cards or testimonials that I receive from patients or their family members.

This nice family member writes:

"I want to thank you for your kindness, generosity and most of all for taking care of my brother this past week.

Having unexpected surgery is always a little unsettling, but your demeanor, dedication, and expertise made my family and I feel very comfortable and confident in you. Right from the start we knew we were in great hands.

We will be forever thankful to you and there will always be a piece in our hearts that will remind us of you very fondly.

Thank You. Thank You. Thank You"

Cards such as these are one of the highest compliments that I could ever receive and I am truly touched.

As my career advances, I find more similarity between reconstructive and aesthetic surgery. Both disciplines require a well thought out operative plan, a thorough knowledge of the anatomy, and conscientious and careful patient follow-up. I am very thankful to have had excellent training.

Brian P. Dickinson, M.D.