The surgeon encounters orbital fractures in the acute, subacute and chronic settings. In each situation, the treatment goals are similar-restoration of orbital integrity and volume. However, the nuances of treatment can vary widely according to the specific setting and injury. In this chapter, we will attempt to provide an overview of how we approach orbital fractures in a variety of settings, ...

Orbital fractures commonly occur in maxillofacial trauma causing enophthalmos and diplopia. The isolated orbital fl oor fracture often called as blow out fracture is a common presentation following blunt trauma. The fl oor fractures may also occur in combination with zygomatic arch fractures, Le Fort II or III or with frac ture of other orbital bones. The cosmetic and functional problems can vi...

BACKGROUND The term "orbital blow-out fracture" is referred to as the mechanism by which an impact to the eyeball is transposed as a mechanical energy to the orbital walls, causing them to fracture. Despite a proper surgical technique, a successful anatomic reconstruction of the orbit, and an accurate follow-up, 3 complications are still frequently observed at long-term follow-up: diplopia, eno...

BACKGROUND AND PURPOSE Although orbital fractures are common, orbital cellulitis rarely develops following orbital fracture. We hypothesized that compromise of the blood supply to the intraorbital fat during orbital floor fracture is responsible for this condition. The purpose of this study was to determine whether or not the lower intraorbital fat is supplied by a branch of the infraorbital ar...

In 11 patients with blow out fracture of the orbit, measurement of orbital volume using computed tomography (CT) more than 20 days after injury correlated well with enophthalmos measured from the same scans (r = 0.87, p < 0.001, SEE 0.63 mm), with a 1 cm3 increase in orbital volume causing 0.8 mm of enophthalmos. This confirms the cause of enophthalmos after blow out fracture to be increase in ...

Orbital floor fracture due to vigorous nose blowing in the absence of mechanical trauma is rare, only four cases having previously been reported. In each of these cases, predisposing factors have been identified; preceding URTI in three and a history of sino-nasal surgery in the fourth case. We present the case of a 49-year-old woman who developed a maxillary sinus fracture and orbital emphysem...

Recently, diagnoses of and operations for medial orbital blowout fracture have increased because of the development of imaging technology. In this article, the authors review the literature, and overview the accumulated knowledge about the orbital anatomy, fracture mechanisms, surgical approaches, reconstruction materials, and surgical methods. In terms of surgical approaches, transcaruncular, ...

218 Volume XI, no. 2 : May 2010 computed tomography (CT) showed a small nondisplaced fracture of the orbital roof with a fracture around the orbital apex. There was loculated air and hemorrhage within the left orbit, but the globe was intact. There was also an abnormal dense intracranial calcification along the lateral margin of Tommy Y. Kim, MD* Ұ Maria H. Lin, MD† Lilit Minasyan, MD* William ...