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Orbit fracture

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https://www.readbyqxmd.com/read/28523089/immediate-surgical-management-of-traumatic-dislocation-of-the-eye-globe-into-the-maxillary-sinus-report-of-a-rare-case-and-literature-review
#1
Samer Abduljabar Noman, Mostafa Ibrahim Shindy
We report a case of complete dislocation of the globe into the maxillary sinus, with immediate repositioning of the globe. This report highlights the importance of early surgical repair of orbital fracture and globe repositioning to regain the maximum amount of ocular functions. A review of literature found 19 cases of globe dislocation into the maxillary sinus: One case was enucleated 2 months after misdiagnosis as traumatic enucleation, six cases were documented no vision or no light perception, three cases did not have reported vision (patients did not survive), and nine cases with postoperative vision...
June 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28514372/-secondary-closed-rhinoplasty-in-the-patient-presenting-with-post-injurious-deformation-of-the-external-nose
#2
T A Aleksanyan, E V Kazantsev
The authors describe the process of the surgical treatment of a patient presenting with the displaced fracture of the nasal bones involving the left orbital wall. The correction was performed by means of secondary closed rhinoseptoplastic surgery. The special emphasis is laid on the importance of computer-assisted modeling for the planning and achievement of the favourable surgical outcome.
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/28504848/association-of-traumatic-head%C3%A2-injuries-and-maxillofacial-fractures-a-retrospective-study
#3
Maher M Abosadegh, Shaifulizan Ab Rahman, Norkhafizah Saddki
The association of traumatic head injury (THI) with maxillofacial fractures (MFF) is a major health concern worldwide. In spite of the close anatomical proximity of maxillofacial bones to the cranium, the association of THI with MFF is controversial. The aim of this study was to assess the association between traumatic head injuries (THI) and maxillofacial fractures (MFF). Other factors associated with THI in patients with MFF were also investigated MATERIALS AND METHODS: A hospital-based retrospective study was conducted at the OMFS Unit, Hospital USM, Kelantan, Malaysia...
May 15, 2017: Dental Traumatology: Official Publication of International Association for Dental Traumatology
https://www.readbyqxmd.com/read/28499464/prospective-study-on-ocular-motility-limitation-due-to-orbital-muscle-entrapment-or-impingement-associated-with-orbital-wall-fracture
#4
Babak Alinasab, Abdul Rashid Qureshi, Pär Stjärne
INTRODUCTION: The recommended urgent surgical management of ocular motility restriction due to orbital muscle entrapment or impingement associated with orbital wall fracture needs to be elucidated. AIM: To evaluate the importance of the time from injury to surgery for the outcome in ocular motility and diplopia, the time lapse of ocular motility, diplopia and hypesthesia recovery. MATERIAL AND METHODS: Patients with entrapment or impingement of orbital contents due to orbital wall fracture were followed up prospectively over 1year regarding ocular motility, diplopia, hypesthesia and cosmetic deformity...
April 21, 2017: Injury
https://www.readbyqxmd.com/read/28489657/the-pattern-of-orbital-fractures-managed-at-two-referral-centers-in-nairobi-kenya
#5
Wayne Manana, Walter A Odhiambo, Mark L Chindia, Kennedy Koech
Orbital fractures are one of the commonest injuries in mid-face trauma and can lead to significant functional and cosmetic defects. This study was aimed at analyzing the pattern of orbital fractures at 2 referral centers in Nairobi. It was a descriptive prospective hospital-based study of the demographics, etiology, clinico-radiological features, and management modalities among patients presenting with orbital fractures at the University of Nairobi Dental Hospital and Kenyatta National Referral Hospital in Nairobi, Kenya...
May 9, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28475527/re-secondary-orbital-reconstruction-in-patients-with-prior-orbital-fracture-repair
#6
Jane S Kim, Bradford W Lee, Richard L Scawn, Bobby S Korn, Don O Kikkawa
No abstract text is available yet for this article.
May 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28475526/re-secondary-orbital-reconstruction-in-patients-with-prior-orbital-fracture-repair
#7
Mohsen Bahmani Kashkouli, Hamed Sianati
No abstract text is available yet for this article.
May 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28474079/-a-retrospective-analysis-of-621-cases-with-craniomaxillofacial-fractures
#8
Yang Lu, Xiao-Feng Lu, Xian-Qun Fan
PURPOSE: To investigate the epidemiological characteristics of 621 hospitalized patients with craniomaxillofacial fractures by a retrospective study. METHODS: From July 2015 to August 2016, the medical records of 621 patients with craniomaxillofacial fractures in Shanghai Ninth People's Hospital were analyzed statistically according to age, gender, etiology and site of fracture. Chi-square test was used to analyze the causes of single and multiple fractures with SPSS 20...
February 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
https://www.readbyqxmd.com/read/28468199/a-rare-complication-of-infraorbital-nerve-hyperesthesia-in-surgically-repaired-orbital-fracture-patients
#9
Seong Eun Cho, Ho Seong Shin, Min Sung Tak, Sang Gue Kang, Yong Seok Lee, Hyun Sung Kim, Chul Han Kim
Injury to the peripheral sensory branches of the trigeminal nerve can follow a wide variety of craniofacial injuries. Many patients with facial fractures complain about the symptom of numbness to the distribution of injured nerve, which is indicative of hypoesthesia. Hyperesthesia involving the infraorbital nerve is rare in comparison to hypoesthesia secondary to facial trauma. The authors report on 2 patients with infraorbital nerve hyperesthesia in surgically repaired orbital fracture patients. Surgical decompression of the infraorbital nerve led to rapid resolution of hyperesthesia...
May 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28468170/might-trauma-be-a-triggering-factor-for-craniofacial-fibrous-dysplasia
#10
Mehmet Onur Yüksel, Mehmet Sabri Gürbüz, Hilmi Onder Okay, Mehmet Esref Kabalar
Fibrous dysplasia (FD) is a rare, benign disease of unclear etiology where normal bone is replaced with abnormal fibrous and weak osseous tissue. Any bone of the skeleton might be involved but skull is one of the most commonly affected sites. Fibrous dysplasia is known to be caused by a genetic mutation leading to inappropriate proliferation and differentiation of osteoblastic cells. However; it is not known whether any triggering factor exists which might contribute to this genetic mutation. The authors postulated that trauma might be a triggering factor for this disease...
May 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28456014/template-based-orbital-wall-fracture-treatment-using-statistical-shape-analysis
#11
Hans-Martin Doerfler, Heike Huempfner-Hierl, Daniel Kruber, Peter Schulze, Thomas Hierl
PURPOSE: Aim of this study was to investigate whether a mold generated from a statistical shape model of the orbit could be generated to provide a cost-efficient means for the treatment of orbital fractures. MATERIALS AND METHODS: A statistical shape model was created from 131 computed tomographic (CT) scans of unaffected adult middle European human orbits. To generate the model, CT scans were segmented in Brainlab software, preregistered using anatomic landmarks, trimmed to an identical size, and definitely registered...
April 4, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28455003/simultaneous-head-and-facial-computed-tomography-scans-for-assessing-facial-fractures-in-patients-with-traumatic-brain-injury
#12
Li-Kuo Huang, Hsueh Han Wang, Hsi-Feng Tu, Chih-Yuan Fu
INTRODUCTION: Patients with traumatic brain injury (TBI) may have concomitant facial fractures. While most head injury patients receive head computed tomography (CT) scans for initial evaluation, the objective of our study was to investigate the value of simultaneous facial CT scans in assessing facial fractures in patients with TBI. METHODS: From January 1, 2015 to December 31, 2015, 1649 consecutive patients presenting to our emergency department (ED) with a TBI who received CT scans using the protocol for head and facial bones were enrolled...
April 24, 2017: Injury
https://www.readbyqxmd.com/read/28439168/ocular-injuries-in-patients-of-zygomatico-complex-zmc-fractures
#13
Altaf Hussain Malik, Aijaz A Shah, Irshad Ahmad, Babar Ai Shah
PURPOSE: Mid face injuries commonly destroy the integrity of the orbital skeleton, and are frequently complicated by injury to the eye, ranging between 2.7 and 90.6 % as reported in literature. The eye injuries range from simple subconjunctival haemorrhage to globe rupture. The paper aims to study the types of ocular injuries in patients with ZMC fractures. PATIENTS AND METHODS: A study of 67 patients, who had sustained facial trauma sufficient to lead to a facial bone fracture, was undertaken in the department of Oral and Maxillofacial Surgery, Govt Dental College, Srinagar from 2008 to 2014 and the patients received a comprehensive examination by an ophthalmologist within 1 week of injury...
June 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/28437268/anisocoria-after-repair-of-blowout-fracture
#14
Kyung Ah Lee
Anisocoria may indicate a life-threatening neurosurgical emergency, unlike bilateral mydriasis. In patients with periorbital fracture, anisocoria can be caused by direct or indirect injury to the oculomotor nerve, excessive retraction of the orbital contents, or constriction of the muscles responsible for eyeball movement. Herein, the author reports a patient, 15-year-old boy, who developed anisocoria after an operation for a blowout fracture. The anisocoria was improved, self-limiting, and transient. The author has also reviewed the literature regarding anisocoria...
April 21, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28435900/characteristics-of-orbital-wall-fractures-in-preschool-and-school-aged-children
#15
Dong Jin Yang, Youn-Jung Kim, Dong-Woo Seo, Hyung-Joo Lee, In-June Park, Chang Hwan Sohn, Jung Min Ryoo, Jong Seung Lee, Won Young Kim, Kyoung Soo Lim
OBJECTIVE: This study aimed to evaluate the injury patterns in pediatric patients with an orbital wall fracture (OWF) and to identify the differences in injury patterns between preschool and school-aged patients with OWF who presented to the emergency department. METHODS: We performed a retrospective observational study in the emergency department of a tertiary hospital between January 2004 and March 2014. A total of 177 pediatric patients (<18 years) with OWF who underwent facial bone computed tomography scans with specific discharge codes were included...
March 2017: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/28434826/the-accuracy-of-patient-specific-implant-prebented-with-3d-printed-rapid-prototype-model-for-orbital-wall-reconstruction
#16
Young Chul Kim, Woo Shik Jeong, Tae-Kyung Park, Jong Woo Choi, Kyung S Koh, Tae Suk Oh
BACKGROUND: This study evaluated the accuracy of blow out fracture reduction using 3D-printed rapid prototyping (RP) skull modeling. PATIENTS AND METHODS: Retrospective review was performed for 82 patients who underwent post-traumatic orbital wall fracture reduction between 2012 and 2014. Patients were divided into two groups according to the use of 3D-printed RP skull model reproduced by mirroring technique, onto which a titanium mesh was anatomically molded. Using computed tomographic scans, the areas of pre- and post-operative orbital wall defect, the layout angles of the titanium mesh, and the gap lengths between the implant and fracture margin were compared between the two groups...
March 27, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/28434052/core-curriculum-illustration-orbital-blow-out-fracture
#17
M Mubashir Ramzan, Shaimaa Fadl, Ken F Linnau
This is the 32nd installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC.
April 22, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28430540/demystifying-orbital-emergencies-a-pictorial-review
#18
Viet D Nguyen, Achint K Singh, Wilson B Altmeyer, Bundhit Tantiwongkosi
Imaging of the orbit plays an important role in the workup of orbital emergencies. Orbital imaging is particularly useful in the emergency department, where clinical history and physical examination may be limited or delayed until the exclusion or treatment of more life-threatening conditions. Cross-sectional orbital imaging with multidetector computed tomography (CT) and magnetic resonance (MR) imaging is commonly performed in addition to ultrasonography. In an emergent setting, CT is the preferred modality when evaluating for intraorbital foreign bodies, fractures, or calcifications within a mass lesion...
May 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/28427053/growing-skull-fracture-and-the-orbitocranial-variant-nuances-of-surgical-management
#19
Vikram Singh, Gopalakrishnan M Sasidharan, Dhananjaya Ishwar Bhat, Bhagavatula Indira Devi
AIMS: Growing skull fracture (GSF) is a rare complication resulting from diastatic enlargement of a pediatric skull fracture. Orbitocranial GSF is a distinct variant with more complex management issues due to the displacement of the globe. This study aims to discuss surgical considerations in the management of GSF, with particular reference to orbitocranial variants. METHODS: We conducted a retrospective analysis of 7 children operated for GSFs at our institute from 2008 to 2015...
April 21, 2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28412263/oculocardiac-reflex-in-an-orbital-fracture-without-entrapment
#20
Timothy C Woernley, Thomas L Wright, Duc N Lam, Jonathon S Jundt
Large orbital fractures in older patients are infrequently associated with an exaggerated oculocardiac reflex. This report describes the case of a patient in his 40s with a large right orbital floor and medial wall fracture without radiographic evidence of extraocular muscle compression or entrapment who developed severe nausea and bradycardia with movement of his affected eye. The patient exhibited bradycardia to 17 beats per minute during the initial examination and was taken urgently to the operating room for reconstruction of the right orbital floor and medial wall...
March 21, 2017: Journal of Oral and Maxillofacial Surgery
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