Facial injuries are often complex to treat, as the physician must not only fully restore the function of the damaged area but also do so in a way that leaves no aesthetic defect. The Top Ichilov clinic employs qualified maxillofacial surgeons with extensive experience in reconstructing facial structures even after the most severe injuries.
Treatment of orbital fractures in Israel begins with a thorough assessment of the injury. Knowing that any surgical intervention carries certain risks, Israeli doctors sometimes choose a wait-and-see approach. However, before this, they conduct a thorough diagnosis to ensure that the injury has not led to enophthalmos (recession of the eyeball into the orbit) or dangerous compression of the facial muscles. If surgery is necessary, it can be performed minimally invasively, leaving virtually no scars.
Top Ichilov provides effective treatment for orbital fractures of any severity, congenital defects, secondary correction of injuries, and aesthetic reconstruction.
How Orbital Fractures are Treated in Israel
Not all fractures require aggressive treatment. Sometimes small cracks in the bone, in the absence of dislocation, do not even cause symptoms. Numbness and hematoma resolve on their own over time, and surgical treatment is not warranted. However, there are certain indications that guide the surgeons at Top Ichilov. These include:
- Presence of enophthalmos (recession of the eyeball into the orbit)
- Presence of diplopia (double vision)
- Presence of muscle compression by fractured bones
- High severity of the fracture
Typically, a CT scan is used to determine whether surgery is necessary. However, sometimes the doctors at Top Ichilov prefer a watchful waiting approach for several weeks before making a decision about surgery. Modern studies have shown that even diplopia in some fractures resolves on its own.
For the treatment of orbital fractures, Top Ichilov employs the following methods:
- Medication Therapy. Patients should avoid blowing their nose and performing the Valsalva maneuver to prevent the development of intraorbital emphysema. Oral antibiotic treatment may be considered for infection prevention. Some patients may require pain relief and antiemetics. Steroids are sometimes prescribed to reduce soft tissue swelling. All medications at Top Ichilov are prescribed to patients on an individual basis.
- Emergency Fracture. Rarely, almost exclusively in children, orbital fractures require urgent treatment. Because children's bones are more pliable than those of adults, they may break and then snap back into place. During this process, the eye muscle can become trapped in the broken bone. Muscle necrosis occurs within a few hours. Surgery must be performed as soon as possible. Although this is emergency treatment for orbital fractures in Israel, reviews of it are overwhelmingly positive.
- Planned Surgery. Typically, surgery is performed several weeks after the injury. The surgeons at Top Ichilov prefer to wait until the swelling subsides. During this period, any ophthalmological issues that may contraindicate surgery may also become apparent. Most often, surgical intervention is performed minimally invasively through hidden incisions under the lower eyelids or at the corners of the eyes. During preoperative planning, custom titanium plates may be made for the patient to reinforce the bones. This is modern treatment for orbital fractures in Israel, the cost of which will depend on the complexity of the operation.
- Surgery of the eyelids, tear ducts, and orbit
Send your records — an Ichilov physician will reply within 1–2 days, free of charge.
How Orbital Fractures are Diagnosed in Israel
In addition to comprehensive diagnostic examinations at Top Ichilov, additional services are available. Patients at the clinic can always seek a "second opinion" from local specialists. This may be necessary if you are unsure of your diagnosis or want to learn about alternative treatment options.
Additionally, today there is an opportunity to consult with an Israeli doctor without leaving your country. By using the "video consultation" service, you can communicate with a doctor in a comfortable setting. This is a double savings: first, you do not need to spend money on airfare and accommodation in a foreign country; second, if you do have to travel to Israel, the first consultation will be free of charge.
The diagnostic process at Top Ichilov is clearly coordinated and quick, taking no more than three days:
Day One: Meeting with the Traumatologist
The doctor will ask questions about how and when the injury occurred. At this stage, you should provide him with information about any accompanying medical issues or previous surgical interventions on your face. The doctor will examine your face for signs of asymmetry and damage to motor functions. He will inspect the face from several angles and palpate the facial bones, gently pressing on them.
Day Two: Examination
Signs of an orbital fracture include differences in the position of the eyeballs or recession of the eyeball into the orbit. If the distance between the eyes is greater than usual, this may indicate a fracture of the nasoethmoidal complex. Two-dimensional orbital CT of the face and three-dimensional CT reconstruction may be necessary before and after surgery to assess the accuracy of fracture correction.
When an orbital fracture is suspected, the doctors at Top Ichilov most often order a CT scan to determine the exact location and type of fracture or crack. In addition, radiological examination, assessment of diplopia, and exophthalmometry may be used.
Day Three: Final Diagnosis and Treatment Strategy Selection
Upon completion of the diagnostic procedures, your treating physician will convene a medical council. Together, physicians from related specialties will review the research results, make a diagnosis, and choose the optimal therapeutic strategy, in their opinion.
Treatment of Orbital Fractures in Israel: Price
Since the methods for treating orbital fractures can vary significantly (medication treatment or surgical operation), the price for treatment can also vary greatly. You will learn the approximate cost after undergoing a preliminary examination. However, in general, treatment in Israel will cost you 30-50% less than in medical centers in the USA and Western Europe.
Contact our consultants to learn more about the possibility of treating orbital fractures and other facial injuries at one of the most sought-after clinics in Israel.