Delayed management of an orbital floor blow-out fracture

Blow-out fracture of the orbital floor.

Six patients with blowout fractures of the orbital floor, not associated with infraorbital rim fractures, are presented. Diplopia, infraorbital anesthesia and enophthalmos following blunt trauma to the eye should alert the examiner to the possibility of a blowout fracture with incarceration of extraocular tissues. Early roentgenographic examinations are often difficult to evaluate because of pe...

Orbital blow out fracture.

Pure Orbital Floor Blow-in Fracture

Figure 1. Intraoperative photo showing the displaced fracture fragment. DESCRIPTION A 55-year-old white man presented with double vision 2 days after low-velocity blunt force–isolated facial trauma. He complained of persistent vertical and horizontal double vision, particularly with inferior and lateral gaze. He had minimal dentition, but he believed that his teeth aligned normally. A computed ...

Blow out fracture A Novel Management Modality

Blow out fracture of orbit involves fracture of orbital floor without fracture of infraorbital rim. This injury is common from frontal blow to orbit. Frontal blow to orbit causes increased intraorbital tension causing fracture of floor of the orbit (weak point) with prolapse of orbital content into the maxillary sinus cavity. This causes enophthalmos and diplopia. Infraorbital rim is not involv...

Pediatric Orbital Floor Fracture

DESCRIPTION A 7-year-old boy was brought to the emergency department with a chief complaint of vomiting multiple times over the previous 24 hours. He had been struck in the face by his elder brother's knee while wrestling the day prior.