Blowout Fractures Of The Orbital Floor

The patient did have some numbness in the left infraorbital nerve distribution.

Blowout fractures of the orbital floor. There is a history of the orbital entrance being struck by an object usually one larger than the diameter of the orbital opening eg a ball an automobile dashboard or a fist. Epidemiology the blowout fracture is t. This is a fracture of the paper thin floor of the eye socket with the bony rim surrounding the eye remaining intact. The poor fragile floor.

The fragility of the orbital floor is eloquently considered in a chapter from ophthalmic care of the combat casualty coauthored by dr. Orbital fractures are a common presentation to ophthalmologists who treat blunt trauma and fractures of the floor are the most common of all. This is typically caused by a direct blow to the central orbit from a fist or ball. Blowout fractures of the orbit most frequently affect the middle third of the orbit where the orbital walls are the thinnest.

Orbital blowout fracture or indirect orbital floor fracture. Ct scan demonstrates common findings of a blow out fracture with evidence of a depressed right orbital floor bottom. An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall typically resulting from impact of a blunt object larger than the orbital aperture or eye socket most commonly the inferior orbital wall i e. Internal orbital fractures in the pediatric age group.

Inferior blowout fractures involving the floor of the orbit maxillary sinus roof are the most common followed by medial wall blowout fractures. The diagnosis of a blowout fracture of the orbital floor is suggested by the patient s history physical examination and radiographs. The floor is likely to collapse because the bones of the roof and lateral walls are robust. An example of a patient presenting with a right orbital floor blowout fracture.

Orbital floor fractures may result when a blunt object which is of equal or greater diameter than the orbital aperture strikes the eye or on the cheek 1. The patient understood and wanted to proceed with exploration and reconstruction of left orbital floor blowout fracture with split calvarial bone graft. Bruising and limited eye movements secondary to swelling are common clinical presentations top. Clinically showed the patient with enophthalmos.

Bansagi zc meyer dr. Orbital blowout fractures anatomy and mechanism of injury. Blowout fracture of the orbital floor with entrapment caused by isolated trauma to the orbital rim. Orbital floor fracture also known as blowout fracture of the orbit eye socket.

The orbital floor and medial.