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Journal articles on the topic 'Fracture medial wall of orbit'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Wilkat, Max, Karsten Hufendiek, Merve Karahisarlioglu, Maria Borrelli, Christoph Sproll, and Majeed Rana. "Prospective Evaluation of Two Wall Orbital Fractures Involving the Medial Orbital Wall: PSI Reconstruction versus PDS Repair—Worth the Effort?" Journal of Personalized Medicine 12, no. 9 (2022): 1389. http://dx.doi.org/10.3390/jpm12091389.

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Proper treatment of the two-wall fractured orbit is still controversial. Specifically, there is no consensus on the issue of the necessity of medial orbital wall repair. With anatomically critical structures at risk during the surgical approach, surgeons’ view on the necessity of medial orbital wall repair often is restricted and an aesthetically disturbing enophthalmos is more likely to be accepted. Therefore, treatment options range from leaving the medial wall without repair to reconstruction with autogenous tissue or alloplastic materials, which can lead to moderate to severe side effects.

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Yuldashevich, Abdullaev Sharif, Gafurov Zafar Atkhamovich, Khalilov Abdufarrukh Abdupattakhovich, Zainutdinov Murodilla Omonullaevich, and Muratova Nadezhda Yurievna. "Transnasal Surgical Treatment Of Patients With A Fracture Of The Medial Wall Of The Orbit." American Journal of Medical Sciences and Pharmaceutical Research 03, no. 09 (2021): 110–16. http://dx.doi.org/10.37547/tajmspr/volume03issue09-18.

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The article presents the method of transnasal surgical treatment of patients with a fracture of the medial wall of the orbit using the Volkov elevator as a repositioning tool and an iodine tampon as a fixation material, which allows efficient fixation of the medial orbit wall fragments and its soft tissue components, allowing to reduce the trauma of surgical intervention, to restore the eyeball position, and to eliminate the cause of emphysema and dynamic correction of postoperative diplopia in one-time operation.

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3

Jeon, Jae Hyung, Hong Bae Jeon, Hyonsurk Kim, and Dong Hee Kang. "Navigation-guided orbital medial wall fracture reconstruction." Archives of Craniofacial Surgery 26, no. 1 (2025): 5–12. https://doi.org/10.7181/acfs.2024.00542.

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Background: Orbital medial wall fractures, which are more common than inferior wall fractures, have traditionally been difficult to diagnose with conventional radiography. As the fracture extends deep into the bony orbit, accurately visualizing internal structures becomes challenging, increasing the risk of optic nerve compression. In a previous study, the author introduced a technique for treating medial orbital wall fractures using a combined transethmoidal and transcaruncular approach. In this study, the authors hypothesized that the use of surgical navigation could enhance precision, safet

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Yousuf Naik, Dr Hani, and Dr Bansari M Leela. "Management of Bilateral Le Fort Ii Fracture - A Case Report." Journal of Medical and Dental Science Research 12, no. 2 (2025): 69–75. https://doi.org/10.35629/076x-12026975.

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An attempt to classify mid-facial fractures was made by Rene Le Fort who categorised them into LeFort I, II and III . Le Fort II fracture is also known as ‘ PYRAMIDAL or “SUBZYGOMATIC FRACTURE’ . The Lefort fracture line runs from the frontonasal suture line originating form the thin nasal bones running down on either side , crossing the frontal process of maxilla into the medial wall of each orbit . Within the orbit , the fracture line runs across the lacrimal bone posterior to the lacrimal sac and crosses the infra orbital margin medial to or through the infra orbital foramen. The line then

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5

K.Y., Manjunath. "Supernumerary Bones in the Walls of the Bony Orbit." PJSR 6, no. 1 (2013): 7–12. https://doi.org/10.5281/zenodo.8262757.

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Occurrence of supernumerary bones in the walls of the orbit especially in the medial wall and the roof has been described in the literature. Studies of the prevalence of supernumerary bones in the bony wall of the orbit are scarce in the literature. Present study was undertaken to find the prevalence of supernumerary bones in the walls of the orbit in a collection of adult Indian skulls. In the present study three hundred and twenty six orbital walls from one hundred and sixty three skulls were examined for the presence of the sutural bones. Their location with reference to the sutures in the

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Romano, Antonio, Stefania Troise, Francesco Maffia, et al. "Anteroposterior Ethmoidectomy in the Endoscopic Reduction of Medial Orbital Wall Fractures: Does It Really Reduce Stability?" Applied Sciences 13, no. 1 (2022): 98. http://dx.doi.org/10.3390/app13010098.

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The surgical treatment of isolated medial orbital wall fractures is still a much-debated topic in the literature due to the choice of many surgical accesses. The main options are represented by transcutaneous versus endonasal endoscopic approaches. Our study aims to clarify the role of ethmoidectomy in the pure endoscopic endonasal reduction of medial orbital wall fractures, evaluating the immediate postoperative outcome and its long-term stability. A total of 31 patients affected by isolated medial orbital wall fracture, treated only by endoscopic approach, were included in the study and divi

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Agarwal, Parul, Deepak Ramnani, and Ayush Tambi. "Multidetector computed tomography in evaluation of maxillofacial injuries." IP International Journal of Maxillofacial Imaging 9, no. 1 (2023): 3–10. http://dx.doi.org/10.18231/j.ijmi.2023.002.

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Facial injuries occur in significant proportion in trauma patients requiring prompt diagnosis and management. The number of maxillofacial injuries is continuously increasing due to rise in traffic, failure to take preventive measures in the traffic leads to road traffic accidents, which is the main etiological factor in maxillofacial fractures. To study role of multidetector tomography in evaluation of maxillofacial injuries. To describe the advantages of 3D reconstructed images over axial images in the imaging of facial fractures. This cross-sectional study included 100 patients who underwent

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8

Pant, Bhawana, Sanjay Gaur, and Tusshar Sharma. "Atypical Cases of Blowout Fracture with Retained Naso-orbital Foreign Bodies: Case Series and Review of Literature." International Journal of Advanced and Integrated Medical Sciences 1, no. 1 (2016): 38–41. http://dx.doi.org/10.5005/jp-journals-10050-0015.

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ABSTRACT An orbital blowout fracture is a fracture of any wall of the orbit, including the medial, lateral, posterior, the floor, or the roof. The most common injury site is the floor or the medial wall. Any blow to the face or eye, especially the orbital rim, can cause this injury. Vision threatening complications like permanent diplopia and cosmetically unacceptable enopthalmos make this an important injury to be identified quickly. Here, we present two atypical cases of orbital blowout fractures with retained nasoorbital foreign bodies where mechanism of injury was different but resulted in

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Gupta, Sneha, Praveen Kumar Singh, Divya Mehrotra, et al. "Patterns of Orbital Fractures Needing Surgical Reconstruction in a Large Tertiary Hospital in Northern India." Craniomaxillofacial Trauma & Reconstruction Open 6 (January 1, 2021): 247275122199916. http://dx.doi.org/10.1177/2472751221999163.

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Study Design: This is a prospective study for 3 year duration. Objective: The aim of this study was to observe the incidence and patterns of orbital fractures and discuss their treatment options. Methods: A total 29604 trauma patients visited our emergency department within May 2017 to Oct 2019, where 1230 (4.15%) patients presented with orbital fractures, of which only 44 (3.6% of orbital fracture) patients required surgical reconstruction, and were enrolled in our study and evaluated for their fracture patterns, size of bone defect, clinical presentation, timing of surgery, reconstruction, a

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Rodriguez, Javier, Ramon Galan, Gabriel Forteza, et al. "Extended Transcaruncular Approach Using Detachment and Repositioning of the Inferior Oblique Muscle for the Traumatic Repair of the Medial Orbital Wall." Craniomaxillofacial Trauma & Reconstruction 2, no. 1 (2009): 35–40. http://dx.doi.org/10.1055/s-0029-1202598.

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The fracture of the medial orbital wall is relatively common in orbital trauma. Titanium mesh is possibly the actual standard material for orbital wall reconstruction. When the floor of the orbit and the medial wall are simultaneously affected, one larger mesh gives better results than two independent meshes that need to be fixated independently. However, large meshes need a wider surgical field. To gain sufficient exposure to the medial and inferior orbital walls simultaneously, we present an approach that combines the transconjunctival and transcaruncular incisions, detaching if needed the i

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11

Jung, Eun Hye, Min Joung Lee, and Bum-Joo Cho. "The Incidence and Risk Factors of Medial and Inferior Orbital Wall Fractures in Korea: A Nationwide Cohort Study." Journal of Clinical Medicine 11, no. 9 (2022): 2306. http://dx.doi.org/10.3390/jcm11092306.

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Purpose: We aimed to investigate orbital wall fracture incidence and risk factors in the general Korean population. Method: The Korea National Health Insurance Service–National Sample Cohort dataset was analyzed to find subjects with an orbital wall fracture between 2011 and 2015 (based on the diagnosis code) and to identify incident cases involving a preceding disease-free period of 8 years. The incidence of orbital wall fracture in the general population was estimated, and the type of orbital wall fracture was categorized. Sociodemographic risk factors were also examined using Cox regression

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Shen, Yun-Dun, Daniel Paskowitz, Shannath L. Merbs, and Michael P. Grant. "Retrocaruncular Approach for the Repair of Medial Orbital Wall Fractures: An Anatomical and Clinical Study." Craniomaxillofacial Trauma & Reconstruction 8, no. 2 (2015): 100–104. http://dx.doi.org/10.1055/s-0034-1375168.

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The aim of this article is to investigate a retrocaruncular approach for repairing medial orbital wall fractures. A total of 10 fresh cadaver orbits were dissected to investigate a transconjunctival approach to the orbit posterior to the caruncle. Medical records of consecutive patients with medial orbital wall fractures repaired via a retrocaruncular incision at Wilmer Eye Institute over a 10-year period were retrospectively reviewed. The study was approved by the Johns Hopkins Medical Institution's Institutional Review Board. Feasibility of this approach was clearly demonstrated on all cadav

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Lozada, Kirkland, Patrick Cleveland, and Jesse Smith. "Orbital Trauma." Seminars in Plastic Surgery 33, no. 02 (2019): 106–13. http://dx.doi.org/10.1055/s-0039-1685477.

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AbstractThe orbit is contained within a complex bony architecture with overlying soft tissue that involves many important anatomical structures. Orbital trauma is a frequent cause of damage to these structures. The authors review the literature on reconstructive techniques focusing on fractures of the orbital rim, orbital roof, orbital floor, medial orbital wall, and naso-orbito-ethmoid complex. A thorough literature review was conducted using PubMed analyzing articles relevant to the subject matter. Various search terms were used to identify articles regarding orbital trauma presentation, dia

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Tooley, Andrea A., Benjamin Levine, Kyle J. Godfrey, Richard D. Lisman, Ann Q. Tran, and John E. Sherman. "Inferior Oblique Entrapment After Orbital Fracture With Transection and Repair." Craniomaxillofacial Trauma & Reconstruction 13, no. 3 (2020): 211–14. http://dx.doi.org/10.1177/1943387520928652.

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Extraocular muscle (EOM) entrapment with resulting reduction in motility and diplopia is a known complication of orbital fractures. Less commonly, transection of the EOMs due to trauma, iatrogenic injury, or intentional myotomy may lead to persistent diplopia. The inferior oblique (IO) is often encountered during orbital surgery along the medial wall and floor, and may be disinserted to aid in visualization. The authors present a case of IO entrapment which occurred during zygomaticomaxillary fracture reduction. Intraoperatively, an IO transection was performed and the muscle was reattached wi

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Mandolini, Marco, Agnese Brunzini, Michele Germani, Steve Manieri, Alida Mazzoli, and Mario Pagnoni. "Selective laser sintered mould for orbital cavity reconstruction." Rapid Prototyping Journal 25, no. 1 (2019): 95–103. http://dx.doi.org/10.1108/rpj-05-2017-0098.

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PurposeOrbital fractures are the most commonly encountered midfacial fractures, and usually, the fracture involves the floor and/or the medial wall of the orbit. This paper aims to present an innovative approach for primary and secondary reconstructions of fractured orbital walls through the use of computer-assisted techniques and additive manufacturing.Design/methodology/approachFirst, through the 3D anatomical modelling, the geometry of the implant is shaped to fill the orbital defect and recover the facial symmetry. Subsequently, starting from the modelled implant, a customised mould is des

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16

Roman, Raluca, Mihaela Hedeșiu, Floarea Fildan, et al. "The use of reformatted Cone Beam CT images in assessing mid-face trauma, with a focus on the orbital floor fractures." Medicine and Pharmacy Reports 89, no. 4 (2016): 519–24. http://dx.doi.org/10.15386/cjmed-601.

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Background and aim: This study aims at evaluating the reliability on specific multi-planar cone beam computer tomography (CBCT) reconstruction in the orbital floor fractures.Methods: CBCT examination of the mid-face fractures area involving the floor of the orbit was performed in a number of 93 trauma patients by two independent radiologists. Both radiologists assessed the axial, coronal and sagittal sections and also the oblique coronal and sagittal extracted sections evaluating the location of the orbital fractures, its size and displacement, the involvement of the infra-orbital foramen, her

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Abdulrazeq, Hael, Konrad Walek, Shailen Sampath, et al. "Development of posttraumatic frontal brain abscess in association with an orbital roof fracture and odontogenic abscess: A case report." Surgical Neurology International 13 (November 18, 2022): 539. http://dx.doi.org/10.25259/sni_813_2022.

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Background: Brain abscess is a potentially fatal condition. Orbital fractures caused by penetrating injury may be associated with intracranial infection. Such complication associated with blunt trauma, orbital roof fractures, and odontogenic abscesses is exceedingly rare. Case Description: We report the case of a 40-year-old transgender female with a frontal abscess presenting several weeks following a motor vehicle crash from which she suffered multiple facial fractures and an odontogenic abscess. On computed tomography scan, the patient had multiple right-sided facial fractures, including a

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Shin, Jongweon, Song I. Park, Yunsup Hwang, Ho Kwon, and Hyung-Sup Shim. "Reconstruction of Medial Wall Blowout Fracture Defect with a Combination of Resorbable Meshed Plate and Cancellous Bone Allograft." BioMed Research International 2019 (October 15, 2019): 1–8. http://dx.doi.org/10.1155/2019/2656503.

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Background. Various materials are available for the reconstruction of bone defects in cases of medial wall blowout fracture. This study was conducted to assess the efficacy of the combination of a resorbable meshed plate and cancellous bone allograft. Methods. From March 2014 to March 2017, a total of 111 patients were evaluated. Sixty-three patients received reconstruction surgery with porous polyethylene plates (control group) and the other forty-eight patients underwent operation with a resorbable meshed plate plus allogenic cancellous bone (combined group). The results were assessed by exo

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19

Nolasco, Felix P., and Robert H. Mathog. "Medial Orbital Wall Fractures: Classification and Clinical Profile." Otolaryngology–Head and Neck Surgery 112, no. 4 (1995): 549–56. http://dx.doi.org/10.1177/019459989511200408.

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This article reports our experience and proposes a clinical classification regarding medial orbital wall fractures. After a retrospective analysis of 2741 patients with facial fractures, we were able to evaluate 273 patients with 304 medial orbital wall fractures. The male-to-female ratio was 5:1, and most injuries involved the left orbit. Most fractures were caused by personal altercations, but more complex injuries were noted with automobile accidents and falls. Fractures were divided into types based on location and severity of injury: type I (confined to the medial orbital wall), type II (

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Chandran, Sobhana. "Pseudo-Duane’s retraction syndrome: a rare clinical entity." International Journal of Otorhinolaryngology and Head and Neck Surgery 6, no. 7 (2020): 1387. http://dx.doi.org/10.18203/issn.2454-5929.ijohns20202802.

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<p class="abstract">Studies of sequelae of isolated medial orbital wall fractures show that the majority of patients with this condition are often asymptomatic, which makes the diagnosis based only on clinical grounds difficult. One of the rare complications of this entity is Pseudo-Duane’s retraction syndrome, which is characterised by horizontal diplopia, restricted abduction with or without limited adduction, accompanied by narrowing of the palpebral fissure, globe retraction and pseudo ptosis on abduction. This is a case report of a 46-year-old female who developed Pseudo-Duane’s ret

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Patel, K. K., and R. A. Loukota. "Transcaruncular approach to fractures of the medial wall of the orbit." British Journal of Oral and Maxillofacial Surgery 44, no. 5 (2006): 419–20. http://dx.doi.org/10.1016/j.bjoms.2005.07.022.

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Ochilov, A. R., T. A. Akhadov, A. V. Timofeeva, et al. "Computed tomography of acute orbital trauma in children: a retrospective study." Diagnostic radiology and radiotherapy 15, no. 3 (2024): 48–57. http://dx.doi.org/10.22328/2079-5343-2024-15-3-48-57.

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INTRODUCTION: Orbital injuries account for 36 to 64% of all blunt trauma to the facial bones. Diagnosis of orbital wall fractures is carried out using conventional radiography in several projections and computed tomography; magnetic resonance imaging is less commonly used. Often, due to the small displacement of orbital bone fragments, X-ray diagnosis is difficult. Multislice CT with reconstruction of sagittal, coronal projections and 3D in the bone window in such cases is the best visualization method. However, there are still no clear indications for the use of each method and there is no co

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Burt, Benjamin, Michael Jamieson, and Brian Sloan. "Medial wall fracture- induced pneumo-orbita mimicking inferior rectus entrapment." American Journal of Emergency Medicine 28, no. 1 (2010): 119.e1–119.e3. http://dx.doi.org/10.1016/j.ajem.2009.04.040.

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Osafune, Hiroshi, Tadayuki Yasoshima, Yukiko Seto, et al. "Minimally Invasive Treatment with Endoscope for Traumatic Outpatients with Fracture of the Medial Wall of Orbit." Practica oto-rhino-laryngologica. Suppl. 143 (2015): 84–88. http://dx.doi.org/10.5631/jibirinsuppl.143.84.

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Zmuda Trzebiatowski, Marcin A., Paweł Kłosowski, Andrzej Skorek, Krzysztof Żerdzicki, Paweł Lemski, and Mateusz Koberda. "Validation of Hydraulic Mechanism during Blowout Trauma of Human Orbit Depending on the Method of Load Application." Applied Bionics and Biomechanics 2021 (March 4, 2021): 1–12. http://dx.doi.org/10.1155/2021/8879847.

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The more we know about mechanisms of the human orbital blowout type of trauma, the better we will be able to prevent them in the future. As long as the buckling mechanism’s veracity is not in doubt, the hydraulic mechanism is not based on equally strong premises. To investigate the correctness of the hydraulic mechanism’s theory, two different methods of implementation of the hydraulic load to the finite element method (FEM) model of the orbit were performed. The intraorbital hydraulic pressure was introduced as a face load applied directly to the orbit in the first variant, while in the secon

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Gomes, Vinicius Rodrigues, Josfran da Silva Ferreira Filho, Lais Tajra de Castello Branco, Ricardo Franklin Gondim, José Maria Sampaio Menezes Junior, and Abrahão Cavalcante Gomes de Souza Carvalho. "Pneumocephalus after surgical treatment of NOE fracture: Case report." Research, Society and Development 11, no. 4 (2022): e33511427198. http://dx.doi.org/10.33448/rsd-v11i4.27198.

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Introduction: Naso-orbital-ethmoidal fractures are complex fractures involving the bones of the nose, orbit region, maxilla and ethmoid. This complex structure has a close relationship with the brain and the orbital region, which frequently suffer injuries during trauma. Among traumatic brain injuries, there is the pneumoencephalon. The present study aims to report the treatment of a patient who suffered an accident involving a rural animal. Case Report: A 63-year-old male patient was brought to the highly complex hospital for the Oral and Maxillofacial Surgery and Traumatology service, five d

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Engert, Tobias, and Nathalie Suennen. "Orbital emphysema and medial orbital wall fracture after nose-blowing: a case report and review of literature." International Journal of Otorhinolaryngology and Head and Neck Surgery 11, no. 1 (2025): 66–70. https://doi.org/10.18203/issn.2454-5929.ijohns20250120.

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Nose-blowing is commonly known as the harmless act of expelling nasal mucus by exhaling forcefully through the nose. We report a case of orbital emphysema in a 49-year-old female patient, who suffered from fractures of the medial orbital wall after forcefully blowing her nose. The patient presented to our emergency department with acute right sided periorbital swelling and pain as well as an unremarkable endoscopic examination of the nose. Prior to the event, a common cold with signs of acute sinusitis had been reported. A trauma to the eye was credibly denied, which is consistent with the med

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Sagar, Milind, Shuchita Singh, Hemant Jhajharia, and Shreya Garg. "Retained foreign body in nose following eye injury." BMJ Case Reports 17, no. 7 (2024): e259023. http://dx.doi.org/10.1136/bcr-2023-259023.

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A man in his 60s presented with diminution of vision of the left eye with nasal bleeding after accidental fall. On examination his left upper eyelid was lacerated and left temporal sclera was punctured which was repaired under local anaesthesia after which he was discharged by ophthalmologists but continued to complain of pain and left nasal obstruction. A non-contrast CT of paranasal sinuses revealed fracture of medial wall of left orbit, left ethmoid haemosinus and a metallic foreign body (FB) in the septum and anterior face of sphenoid. Diagnostic nasal endoscopy performed to remove the met

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Mauricio, Dr González Rebattú y. González, Dr Nieto Munguía Ana María, Dr San Juan González Christian Adolfo, et al. "Local Approaches for the Reconstruction of Frontal and Naso-Orbito-Ethmoidal (NOE) Fractures: Presentation of a Clinical Case and Literature Review." South Asian Research Journal of Oral and Dental Sciences 4, no. 2 (2022): 20–27. http://dx.doi.org/10.36346/sarjods.2022.v04i02.004.

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Naso-orbito-ethmoidal (NOE) fractures are considered a challenge in reconstruction, due to the anatomical structures involved, such as the medial canthal ligament and the lacrimal apparatus [1], which leads to a complex functional and aesthetic compromise. For surgical access to the area, the use of the coronal, Lynch-Howarth, glabellar “open sky”, “gull wings” and a combination of the last two are described. However, the severity of the trauma and mainly the neurological compromise of the patient will dictate the choice of the approach that allows functional and comprehensive repair of the af

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Consorti, Giuseppe, Gabriele Monarchi, and Lisa Catarzi. "Presurgical Virtual Planning and Intraoperative Navigation with 3D-Preformed Mesh: A New Protocol for Primary Orbital Fracture Reconstruction." Life 14, no. 4 (2024): 482. http://dx.doi.org/10.3390/life14040482.

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Purpose: This pilot study aims to evaluate the feasibility and effectiveness of computer-assisted surgery protocol with 3D-preformed orbital titanium mesh (3D-POTM), using presurgical virtual planning and intraoperative navigation in primary inferomedial orbital fracture reconstruction. Methods: Between March 2021 and March 2023, perioperative data of patients undergoing surgery for unilateral inferomedial orbital fracture treated with 3D-POTM were analyzed. Presurgical virtual planning with a Standard Triangle Language file of preformed mesh was conducted using the mirrored unaffected contral

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Cho, Raymond I., and Brett W. Davies. "Combined Orbital Floor and Medial Wall Fractures Involving the Inferomedial Strut: Repair Technique and Case Series Using Preshaped Porous Polyethylene/Titanium Implants." Craniomaxillofacial Trauma & Reconstruction 6, no. 3 (2013): 161–69. http://dx.doi.org/10.1055/s-0033-1343785.

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Background Combined orbital floor and medial wall fractures can be technically challenging to repair, particularly when the inferomedial strut is involved. A surgical repair technique is described utilizing a single preshaped porous polyethylene/titanium implant to span both defects. Methods Retrospective interventional case series. Results Fracture repair was performed on 17 orbits (16 patients) between October 2009 and February 2012. Subsequent surgical revision was required in three cases (18%). Visual acuity was stable or improved in all cases. Of 7 patients with preoperative diplopia, 5 i

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Stathopoulos, Panagiotis, Michael Mezitis, George Kostakis, and George Rallis. "Iatrogenic Oculocardiac Reflex in a Patient with Head Injury." Craniomaxillofacial Trauma & Reconstruction 5, no. 4 (2012): 235–37. http://dx.doi.org/10.1055/s-0032-1322532.

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A 16-year-old girl with a history of a recent fall from the third floor was transferred to the emergency room. On presentation, the patient, who had sustained multiple facial fractures, was in clinical shock with a blood pressure 80/40 mm Hg, heart rate 130/min, tachypnea (>30/min), PO2 50 mm Hg, and SO2 82%, and she was intubated for airway protection. Severe nasal hemorrhage was detected (hematocrit: 22%), therefore a bilateral anteroposterior balloon nasal catheter was inserted and inflated with air. Bleeding was controlled. A few minutes later, her heart rate dropped to 40/min. Atropine

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Onofre, Rubiliza DC, and Rene Louie C. Gutierrez. "Orbital Floor Fracture Reconstruction Using Conchal Auricular Cartilage Graft." Philippine Journal of Otolaryngology-Head and Neck Surgery 25, no. 2 (2010): 42–45. http://dx.doi.org/10.32412/pjohns.v25i2.635.

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Orbital wall fractures result from external impact injuries which cause an abrupt increase in intraorbital pressure.1 Patients usually present to the emergency room with periorbital swelling and limited eye movements, with or without changes in vision. Relatively common in the Philippines, these fractures are frequently caused by violent assault followed by vehicular accidents involving motorcycles.2 Among 119 maxillofacial trauma cases seen and treated by the Department of Otorhinolaryngology of the East Avenue Medical Center from 2008-2009, 42 were diagnosed as cases of orbital fractures wit

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Lee, Kelvin YC, Sharon Tow, and Kee-Siew Fong. "Visual Recovery Following Emergent Orbital Decompression in Traumatic Retrobulbar Haemorrhage." Annals of the Academy of Medicine, Singapore 35, no. 11 (2006): 831–32. http://dx.doi.org/10.47102/annals-acadmedsg.v35n11p831.

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Introduction: Acute retrobulbar haemorrhage is a potentially sight-threatening condition, and can follow retrobulbar anaesthesia or trauma to the orbit. Acute loss of vision can occur with retrobulbar haemorrhage and is reversible if the condition is recognised and treated early. Clinical Picture: We report a case of acute retrobulbar haemorrhage following orbital trauma in a 78-year-old Chinese lady. Treatment: The patient was on follow-up for a mature cataract in the right eye and had been scheduled for cataract surgery. The patient presented to the emergency department with acute loss of vi

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Petlakh, Vladimir I., Sergei A. Gorchakov, and Yulia V. Divilina. "Craniofacial wound from a traumatic pistol injury in a 3-year-old child." Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care 13, no. 4 (2023): 599–608. http://dx.doi.org/10.17816/psaic1573.

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With the advent of traumatic self-defense weapons among Russian civilians (weapons of limited destruction and nonlethal kinetic weapons), several studies on injuries among the adult population have been published in the medical literature. Skull injuries are the most severe, often fatal, injuries. To date, there are only isolated descriptions of such injuries in children. Description of the observation. According to the parents, the 3-year-old boy shot himself in the face with an Osa-4 pistol at home. He did not lose consciousness, and the bleeding was light. He was admitted to the centr

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Detorakis, Efstathios T., Emmanouil K. Symvoulakis, Eleni Drakonaki, Ekaterini Halkia, and Miltiadis K. Tsilimbaris. "Unexpected Finding in Ocular Surface Trauma: A Large Intraorbital Foreign Body (Bullet)." Acta Medica (Hradec Kralove, Czech Republic) 55, no. 2 (2012): 100–103. http://dx.doi.org/10.14712/18059694.2015.64.

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Sometimes intraorbital foreign bodies lead to unexpected findings. A 16-year old boy was referred due to ocular surface trauma. A conjunctival laceration was detected at the level of the left caruncle with associated left exotropia, reduced adduction as well as a preretinal hemorrhage along the nasal periphery of the fundus. A blow-out fracture of the medial orbital wall was suspected and a CT scan of the orbits was scheduled which revealed the presence of a large intraorbital foreign body. The removal of the intraorbital foreign body (which proved to be a bullet) and precautionary laser photo

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Markovitz, Michele, Jordan Hamburger, Brian Fromm, Brendan Carr, and Xiao Zhang. "Removal of an Impaled Intraocular Hair Comb Following Self-inflicted Trauma." Clinical Practice and Cases in Emergency Medicine 4, no. 1 (2020): 8–11. http://dx.doi.org/10.5811/cpcem.2019.10.44460.

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Ocular trauma is one of the most common and vision-threatening ophthalmic presentations with a wide spectrum of complications, such as bleeding, infection, vision loss, and enucleation. A 64-year-old-male presented to the emergency department (ED) with a self-inflicted orbital penetrating injury with a hair comb. Computed tomography showed the comb traversed the medial orbit inferior to the medial rectus but did not damage the optic nerve; there were no globe or orbital wall fractures. His ocular exam was significant for a right eye afferent pupillary defect and decreased visual acuity 20/800,

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Mulla, Mazhar, Bhagyashri Bhende, Swapnil Patil, Aditya Patil, and Batuk Diyora. "Civilian Occult Orbitocranial Penetrating Injury Presenting with Cerebral Abscess in Elderly Patient." Indian Journal of Neurotrauma 14, no. 02/03 (2017): 145–48. http://dx.doi.org/10.1055/s-0038-1649284.

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AbstractOrbital penetrating injuries are uncommon and occur following accidental entry of objects through orbit. The authors report an interesting case of right frontal abscess resulting from orbitocranial penetrating injury due to accidental penetration of wooden stick into the right eye, which remained undiagnosed. A 70-year-man presented with complaints of headache and vomiting for few days. His computed tomographic (CT) scan of the brain revealed peripheral rim-enhancing cystic lesion in the right frontal lobe with perilesional edema, mass effect, and midline shift. Orbital CT scan reveale

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Shamova, Tetiana, and Ruslan Pavlenko. "Post-Traumatic Facial and Intracranial Emphysema." Journal of Diagnostics and Treatment of Oral and Maxillofacial Pathology 4, no. 5 (2020): 95–96. http://dx.doi.org/10.23999/j.dtomp.2020.5.2.

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A 48-year-old male was transported to the emergency department after motor vehicle collision. Multi-slice computed tomography (CT) showed multiple facial fractures involving both maxillary sinus walls, walls (lateral, medial, upper and lower) of the right orbit, nasoethmoidal complex, right zygomaticofrontal suture, zygomaticomaxillary buttress, and pterygoid plates of sphenoid bone. Coronal (Panel A) and axial (Panel B) CT scans showed the soft tissues aeration (arrowheads) in the right buccal, periorbital, bilateral orbital regions, and intracranial. CT findings of the intracranially displac

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Steinmassl, Otto, Johannes Laimer, Vincent Offermanns, et al. "Clinical Outcome Following Surgical Repair of Small Versus Large Orbital Floor Fractures Using Polyglactin 910/Polydioxanone (Ethisorb®)." Materials 13, no. 1 (2020): 206. http://dx.doi.org/10.3390/ma13010206.

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The aim of this retrospective study was to evaluate the clinical outcome of surgical management of small versus large, isolated orbital floor fractures (OFFs) using polyglactin 910/polydioxanone (Ethisorb®). Covering a four-year period (2010–2013), all records concerning midfacial fractures with involvement of the orbit were screened. Isolated fractures of the orbital floor as well as combined injuries of the orbital floor and medial wall that had been treated surgically using polyglactin 910/polydioxanone (Ethisorb®) were included. Patients underwent a preoperative, a postoperative, and a lat

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Malinovskaya, N. A., and R. L. Troyanovsky. "Features of the computer tomography pattern in the diagnosis of fractures of the inferior and medial wall of the eye orbit in children." Russian ophthalmology of children, no. 3 (November 1, 2019): 11–16. http://dx.doi.org/10.25276/2307-6658-2019-3-11-16.

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42

Bae, Seong Hwan, Dae Kyun Jeong, Ju Young Go, et al. "A novel technique for placing titanium mesh with porous polyethylene via the endoscopic transnasal approach into the orbit for medial orbital wall fractures." Archives of Plastic Surgery 46, no. 5 (2019): 421–25. http://dx.doi.org/10.5999/aps.2019.00703.

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43

Kwon, Jeong Woo, and Seong Wook Seo. "A Case of Compressive Optic Neuropathy Caused by Orbital Emphysema." Journal of the Korean Ophthalmological Society 65, no. 10 (2024): 687–92. http://dx.doi.org/10.3341/jkos.2024.65.10.687.

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Purpose: We report a patient with compressive optic neuropathy (CON) in whom visual acuity (VA) was restored after removing conjunctival emphysema through the conjunctiva.Case summary: A 55-year-old man was transferred to emergency department complaining of decreased VA in the right eye after trauma to the right temporal side of the head. The best-corrected visual acuity (BCVA) was 0.6 in the right eye. We confirmed a relative afferent pupillary defect and limited eye movement inferiorly in the right eye. The patient had blown his nose several times while being transferred to the hospital. On

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Bayu, Muhammad, Endang Syamsudin, Melita Sylvyana, and Farah Asnely Putri. "Management of Neglected Facial Fracture: A Case Report." International Journal of Medical and Biomedical Studies 8, no. 5 (2024): 74–79. http://dx.doi.org/10.32553/ijmbs.v8i5.2879.

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Introduction: Neglected fracture occurs where there has been a delay of more than 30 days. The maxillofacial fracture complex is the most common fracture in traffic accidents. The most common maxillofacial fractures are Naso-Orbito-Etmoid (NOE), Lefort fracture, Zygomatic Complex (ZMC), Palate Fracture, and Parasymphysis Fracture. Neglected fractures lead to delayed treatment, worsening conditions, and even disability. Case: A 52-year-old male patient presents with complaints of facial bone fracture after being involved in a motor vehicle accident. CT scan examination showed: Multiple fracture

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Thiagarajah, Christopher, and Robert C. Kersten. "Medial Wall Fracture: An Update." Craniomaxillofacial Trauma & Reconstruction 2, no. 3-4 (2009): 135–39. http://dx.doi.org/10.1055/s-0029-1224775.

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This article is a review of the literature and update for management of medial orbital wall fractures. A retrospective review of the literature was performed via PubMed to review the diagnosis and management of medial wall orbital fractures. Medial wall orbital fractures though commonly accompanying orbital floor fractures can also occur alone. There are two primary theories explaining the pathophysiology of medial wall fractures: the hydraulic theory and buckling theory. Most fractures do not require treatment. “White-eyed” trapdoor fractures necessitate immediate surgery to reduce the risk o

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Oripov, O. I., and R. Z. Umarov. "Method of endoscopic decompression of the orbit and optic nerve in cavernous sinus thrombosis." Modern technologies in ophtalmology, no. 3 (June 1, 2022): 78–82. http://dx.doi.org/10.25276/2312-4911-2022-3-78-82.

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Purpose. To study the effectiveness of the method of endoscopic decompression of the orbit and the optic nerve through its medial wall in case of cavernous sinus thrombosis. Material and мethods. The study included 20 patients (11 men (55 %) and 9 women (45 %)) with COVID-19 associated cavernous sinus thrombosis, which was complicated by the development of a pyoinflammatory process in the orbit. The study group included 12 patients who underwent surgical treatment according to proposed method. As a comparative group, we took the results of a retrospective analysis of 8 cases in which patients

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Shetty, T. T., A. S. Sami, D. R. Clark, and M. A. Bearn. "Posterior medial wall blow out fracture." British Journal of Ophthalmology 79, no. 4 (1995): 390. http://dx.doi.org/10.1136/bjo.79.4.390.

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48

de Visscher, Jan G. A. M., and Karel G. H. van der Wal. "Medial orbital wall fracture with enophthalmos." Journal of Cranio-Maxillofacial Surgery 16 (January 1988): 55–59. http://dx.doi.org/10.1016/s1010-5182(88)80018-0.

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49

Chakravarthi, Kosuri Kalyan, Nelluri Venumadhav, and KS Siddaraju. "Congenital malformation of lamina orbitalis ossis ethmoidalis." Asian Journal of Medical Sciences 6, no. 2 (2014): 91–94. http://dx.doi.org/10.3126/ajms.v6i2.10534.

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Background: The thinnest portion of the medial wall of the orbit is Lamina orbitalis ossis ethmoidalis which separates the ethmoidal sinuses from the orbit. Congenital bony malformation of orbit and anatomical variation of ethmoidal sinuses are important in terms of the risk of complication development during endoscopic sinus surgery and to understanding the pathophysiology and spread of sinus disease.Materials and Methods: Accordingly the present study was designed to fi nd out the congenital malformation of medial wall of the orbit in relation to lamina orbitalis ossis ethmoidalis. The study

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50

Kosuri Kalyan Chakravarthi, Nelluri Venumadhav, and KS Siddaraju. "Congenital malformation of lamina orbitalis ossis ethmoidalis." Asian Journal of Medical Sciences 6, no. 2 (2014): 91–94. https://doi.org/10.71152/ajms.v6i2.3501.

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Background: The thinnest portion of the medial wall of the orbit is Lamina orbitalis ossis ethmoidalis which separates the ethmoidal sinuses from the orbit. Congenital bony malformation of orbit and anatomical variation of ethmoidal sinuses are important in terms of the risk of complication development during endoscopic sinus surgery and to understanding the pathophysiology and spread of sinus disease. Materials and Methods: Accordingly the present study was designed to fi nd out the congenital malformation of medial wall of the orbit in relation to lamina orbitalis ossis ethmoidalis. The stud

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