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What really gets me up in the morning and gets me going is dealing with orbital disease.
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A lot of my experience in orbital disease has risen from my experience as a military
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surgeon. I was in the army for twenty one years, just retired as a colonel in 2015 and
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during my experiences I spent a lot of time at Level 1 Trauma Centers in San Antonio,
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in the in the Washington DC area and it's and spent six months in Iraq doing primarily
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trauma surgery, ocular trauma surgery. So I did a lot of orbital trauma while I was
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there and that's kind of become a a sub a specialty of mine dealing with complex orbital
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trauma. I try to work as much as possible with the facial trauma teams here at OSU,
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which includes ENT, plastic surgery or maxillofacial surgery in order to lend my expertise to a
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to those complex orbital cases in order to try to get the best possible outcomes for
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these patients. Many times these patients have very very serious trauma and it's an
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extremely difficult proposition to try to do a reconstruction and to preserve not only
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vision and the other senses but also to restore the face to as much to its normal pre-accident
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condition as possible. Reconstruction of the eye sockets usually involves a number of different
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vices. If there's fractures of the what we call the facial buttresses, the orbital rims,
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then we use usually titanium plates and screws to fixate those. For fractures that are within
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the eye socket in the usually the floor or the medial wall of the orbit that's where
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the most fractures occur, we usually use some kind of implant to replace the bone because
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the bone is too thin and brittle to repair primarily. We basically have to re replace
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the wall of the orbit that's been fractured. So most of the time that involves what's called
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an alloplastic or a or a synthetic implant made of either porous polyethylene, or titanium
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or sometimes a combination of both. Sometimes bone grafts are also used that are harvested
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from other parts of the body in order to reconstruct the orbit but usually it's a combination of
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different things and materials.