I plan to go see a surgeon soon but im wondering if my insurance will pay for me to have my medial blowout fracture fixed. I chose not to have surgery a few years ago bc the dr I saw said that once the swelling went down everything would look "normal" well almost 3 years later it doesn't look normal. I have a sunken eye and I HATE the way I look. I really want it fixed but I'm not sure if its necessary since I have ok vision. Which bones are broke in a medial blowout? Whats the risk? Thanks!
September 22, 2015
Answer: Long-term Enophthalmus Who knows about insurance anymore, I guess they SHOULD pay for it. What makes you think it is a medial (ethmoid) fracture? If you have significant enopthalmus( greater than 5mm of ocular displacement) and the globe must be released and brought up and forward, gaining symmetry can be an extremely difficult endeavor. There are highly reputable craniofacial surgeons who opine that fixing a chronic enopthalmus is impossible. This sounds more difficult than stuffing some plastic into your orbit so I would see a plastic surgeon with craniofacial experience. If it is not fully corrected with some kind of implant done by a oculoplastic surgeon, it then will be truly a nightmare to fix.
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September 22, 2015
Answer: Long-term Enophthalmus Who knows about insurance anymore, I guess they SHOULD pay for it. What makes you think it is a medial (ethmoid) fracture? If you have significant enopthalmus( greater than 5mm of ocular displacement) and the globe must be released and brought up and forward, gaining symmetry can be an extremely difficult endeavor. There are highly reputable craniofacial surgeons who opine that fixing a chronic enopthalmus is impossible. This sounds more difficult than stuffing some plastic into your orbit so I would see a plastic surgeon with craniofacial experience. If it is not fully corrected with some kind of implant done by a oculoplastic surgeon, it then will be truly a nightmare to fix.
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September 22, 2015
Answer: Orbital Fracture Thank you for your question. Your insurance company should cover a fracture after a trauma. You should consult with a oculoplastic/plastic surgeon who is comfortable with orbital trauma in your area. They will be able to submit the appropriate codes to the insurance company for a pre-authorization to determine coverage. The surgery will involve an incision on the inside of your eyelid and placement of an implant along the orbital floor to support the eye. Goo luck.
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September 22, 2015
Answer: Orbital Fracture Thank you for your question. Your insurance company should cover a fracture after a trauma. You should consult with a oculoplastic/plastic surgeon who is comfortable with orbital trauma in your area. They will be able to submit the appropriate codes to the insurance company for a pre-authorization to determine coverage. The surgery will involve an incision on the inside of your eyelid and placement of an implant along the orbital floor to support the eye. Goo luck.
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