orbital floor fracture with entrapment
10 A similar and more popular theory is the hydraulic mechanism whereby the fracture is the result of increased intra-orbital pressure from the eye entering the orbit and not due to direct contact. Orbital Floor Exploration and Repair.
Orbits Skull Lateral Wall Medial Wall Floor Roof Lacrimal Bone Sphenoid Bone Paranasal Sinuses Body
The orbital floor in adolescents is flexible and can quickly open and close trapping the inferior rectus and may present with no other obvious signs of trauma.
. After surgical repair the patient was orthotropic in primary position and his motility pattern no longer mimicked a left SO muscle palsy according to the three-step test. AJS is the official journal of 7 major surgical societies and publishes their official papers as well as independently submitted clinical studies editorials reviews brief. This can lead to pinching entrapment of the optic nerve and the muscles that move the eye.
Generally if greater than 50 of the floor is involved or the defect is 1 to 2 cm2 or larger the orbital floor should be repaired. The force of the blow pushes the eyeball further into the eye socket fracturing the very thin walls of bone that make up the eye socket. With entrapment of the right IR muscle and the patients.
Additional indications include a non-resolving oculocardiac reflex primary diplopia enophthalmos and entrapment of extraocular muscles. Indications for the repair of the orbital floor are controversial. This monthly journal offers comprehensive coverage of new techniques important developments and innovative ideas in oral and maxillofacial surgeryPractice-applicable articles help develop the methods used to handle dentoalveolar surgery facial injuries and deformities TMJ disorders oral cancer jaw reconstruction anesthesia and analgesiaThe journal also.
Forced ductions in the right eye were positive and orbital films showed a right orbital floor fracture with entrapment of the right IR muscle. Patients with a history of orbital trauma and a white eye or lack of subconjunctival hemorrhage will need emergent imaging to determine if there is entrapment of the inferior rectus especially in children. Pfeiffer proposed the Globe-to-Wall Theory which is when a force pushes the globe into the orbit and causes the globe to contact the orbital floor resulting in a floor fracture.
He American Journal of Surgery is a peer-reviewed journal designed for the general surgeon who performs abdominal cancer vascular head and neck breast colorectal and other forms of surgery. Orbital floor fracture blowout fracture may also occur as a result of the forceful blunt trauma to the eye. Loss of vision or double vision can result and.
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