Management of an Isolated Orbital Blow-out Fracture

Orbital 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...

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...

Orbital roof blow-out fractures.

The term blow-out fracture was co ined by Smith and Regan [1] to describe an orbital floor fracture caused by a very sudden increase in intraorbital pressure without concomitant fracture of the orbital rim . Most blow-out fractures involve the orbital floor. Less often the medial orbital wall is fractured either solely or in conjunction with a fracture of the floor [2]. Upward displacement frac...

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 ...