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Orbital fractures

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https://www.readbyqxmd.com/read/28918531/penetrating-orbital-trauma-leading-to-trans-orbital-brain-herniation
#1
Siddharth Vankipuram, Chittij Srivastava, B K Ojha, Sushant Sahoo
INTRODUCTION: Development of a posttraumatic herniation of brain parenchyma through the orbit is a rare complication of orbital roof fracture. Mostly, the injury is due to a direct impact to the frontal region resulting in orbital roof fracture with dural defect and herniation of cerebrospinal fluid or brain parenchyma. These patients present with acute or gradually progressive proptosis with impending risk of loss of vision and mandate surgical decompression of optic nerve with watertight closure of the dural defect...
September 16, 2017: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28914710/effect-of-time-to-operative-intervention-on-motility-outcomes-following-orbital-floor-fracture-repair-in-children
#2
Viraj J Mehta, James G Chelnis, Qingxia Chen, Louise A Mawn
PURPOSE: To evaluate the relationship between time to surgical intervention and extraocular motility outcomes in children following repair of an orbital floor fracture with inferior rectus entrapment. METHODS: After institution review board's approval, a retrospective, consecutive case series of 28 children with unilateral orbital floor fractures entrapping the inferior rectus muscle was conducted. Clinical examinations and CT images were performed on all children...
September 12, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28913762/the-role-of-computed-tomography-ct-in-predicting-diplopia-in-orbital-blowout-fractures-bofs
#3
Michaela Cellina, Chiara Floridi, Marta Panzeri, Oliva Giancarlo
PURPOSE: The management of orbital blowout fractures (BOFs) is controversial: the evaluation of diplopia is the most important criterion for planning whether to undertake surgery. Our aim was to determine CT findings that may suggest the presence of diplopia when patients with BOFs cannot be adequately examined to plan an orbital repair. METHOD AND MATERIALS: We retrospectively evaluated CT of all patients presented to our Emergency Department for blunt craniofacial trauma (N = 3334) from January 2014 to March 2016, selecting patients with CT-demonstrated BOFs...
September 14, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28913322/late-complication-of-a-silicone-implant-thirty-years-after-orbital-fracture-reconstruction
#4
Chi An Lee, Seok Joo Kang, Ji Young Yun, Hook Sun
Alloplastic materials used for orbital fracture reconstruction can induce complications, such as infection, migration, extrusion, intraorbital hemorrhage, and residual diplopia. Silicone is one of the alloplastic materials that has been widely used for decades. The author reports a rare case of spontaneous extrusion of a silicone implant that was used for orbital fracture reconstruction 30 years earlier. A 50-year-old man was admitted to the emergency room for an exposed substance in the lower eyelid area of the left eye, which began as a palpable hard nodule a week earlier...
June 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28913320/pediatric-orbital-medial-wall-trapdoor-fracture-with-normal-computed-tomography-findings
#5
Hyun Rok Lee, Gyu Yong Jung, Dong Lark Lee, Hea Kyeong Shin
With advances in diagnostic technology, radiologic diagnostic methods have been used more frequently, and physical examination may be neglected. The authors report a case of pediatric medial orbital trapdoor fracture in which the surgery was delayed because computed tomography (CT) findings did not indicate bone displacement, incarceration of rectus muscle, or soft tissue herniation. A healthy 6-year-old boy was admitted to the emergency room for right eyebrow laceration. We could not check eyeball movement or diplopia, because the patient was irritable...
June 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28913294/approach-to-frontal-sinus-outflow-tract-injury
#6
REVIEW
Yong Hyun Kim, Baek-Kyu Kim
Frontal sinus outflow tract (FSOT) injury may occur in cases of frontal sinus fractures and nasoethmoid orbital fractures. Since the FSOT is lined with mucosa that is responsible for the path from the frontal sinus to the nasal cavity, an untreated injury may lead to complications such as mucocele formation or chronic frontal sinusitis. Therefore, evaluation of FSOT is of clinical significance, with FSOT being diagnosed mostly by computed tomography or intraoperative dye. Several options are available to surgeons when treating FSOT injury, and they need to be familiar with these options to take the proper treatment measures in order to follow the treatment principle for FSOT, which is a safe sinus, and to reduce complications...
March 2017: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28913285/surgical-methods-of-zygomaticomaxillary-complex-fracture
#7
So Young Ji, Seung Soo Kim, Moo Hyun Kim, Wan Suk Yang
BACKGROUND: Zygoma is a major buttress of the midfacial skeleton, which is frequently injured because of its prominent location. Zygoma fractures are classified according to Knight and North based on the direction of anatomic displacement and the pattern created by the fracture. In zygomaticomaxillary complex (ZMC) fracture many incisions (lateral eyebrow, lateral upper blepharoplasty, transconjunctival, subciliary, subtarsal, intraoral, direct percutaneous approach) are useful. We reviewed various approaches for the treatment of ZMC fractures and discussed about incisions and fixation methods...
December 2016: Arch Craniofac Surg
https://www.readbyqxmd.com/read/28910889/-clinical-features-of-traumatic-optic-neuropathy-in-265-cases
#8
M Chen, Y Jiang, J F Wen, N Li, J Qiu, N K Zhang, J B Ju
Objective: To analyze the clinical features and the pathogenetic law of traumatic optic neuropathy through epidemiologic study. Methods: 265 cases (275 eyes) with TON treated in Department of Otorhinolaryngology Head and Neck Surgery, the Affiliated Hospital of Qingdao University from April 1999 to August 2015 were retrospectively analyzed. Multiple Logistic regression analyses were used to evaluate potential prognostic factors on visual acuity. Results: TON occured mostly in young (194/265, 73.21%) man (235/265, 88...
September 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/28906327/role-of-negative-vector-orbit-in-orbital-blow-out-fractures
#9
Soo Youn Choi, Hwa Lee, Sehyun Baek
BACKGROUND: Negative vector orbit is defined as the most anterior globe portion protrudes past the malar eminence. The aim of the study was to evaluate the relationship between negative vector orbit and blow-out fracture location analyzing the distance between the anterior corneal surface and orbital bone with facial soft tissue in medial and orbital floor blow out fractures using orbital computed tomography (CT). METHODS: Seventy-seven patients diagnosed with blow-out fractures involving the medial or orbital floor were included...
September 12, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28893438/diplopia-secondary-to-orbital-fracture-in-adults
#10
I Pérez-Flores, E Santos-Armentia, J Fernández-Sanromán, A Costas-López, M Fernández-Ferro
OBJECTIVE: To evaluate the incidence and evolution of diplopia as a complication of orbital fractures in adults. PATIENTS AND METHODS: A review was conducted on medical records of all consecutive adults with orbital fracture referred between January 2014 and December 2015. An analysis was made of the incidence of diplopia secondary to fracture in the acute phase and its evolution. A descriptive study was performed on the variables related to patients, fractures, and fracture and diplopia treatment...
September 8, 2017: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/28892944/endoscopic-endonasal-approach-of-blow-out-fracture-reduction-a-novel-technique
#11
Vinod Felix, Narendrakumar Veerasigamani
Blunt trauma to orbit can lead to orbital blow out fracture. Computerized tomography of paranasal sinuses plays the main role in diagnosing it. Repairing the defect and restoring the orbital contents is a challenging task for the surgeon. Endoscopic endonasal approach in reduction of blow out fracture provides good cosmetic outcomes and grossly minimize surgical complications. We report a case of 18-year-old male presented with diplopia, restriction of eye movements and enophthalmos due to Road traffic accident...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28887879/orbital-floor-fracture-repair-the-endonasal-approach
#12
T Kuhnel, H Jagle, W Hosemann, R Weber, V Vielsmeier
To avoid the dangers associated with lower eyelid approaches to the orbital floor and to improve visualization, we propose an endoscopic procedure for orbital floor fracture reduction and osteosynthesis using endonasal access via the medial maxillary sinus wall. The technique of endoscopic, endonasal transantral surgery is described, together with a retrospective analysis of 17 patients who had undergone this surgical procedure in the Department of Otorhinolaryngology, University of Regensburg, between July 2013 and June 2016...
September 9, 2017: Rhinology
https://www.readbyqxmd.com/read/28885440/is-orbital-floor-reconstruction-with-titanium-mesh-safe
#13
Omar Bakr Hazm Al-Khdhairi, Saif Saadedeen Abdulrazaq
To reconstruct the orbital floor defects there are a lot of reconstruction materials, the surgeon must choose one of them. The authors share their experience with 10 patients suffering from orbital trauma causing orbital floor fracture; those fractures were reconstructed using titanium mesh. No complications were encountered postoperatively apart from 1 patient with ectropion. Titanium mesh is a perfect material for the reconstruction of the orbital fractures, eliminating the need for autogenous bone graft.
September 6, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28875880/orbital-apex-syndrome-after-trauma-in-a-6-year-old-a-rare-occurrence
#14
A Ahmed
Orbital apex syndrome is rare, but can occur as a consequence of trauma from fracture of the medial orbit. This case report highlights the fact that a high index of suspicion is needed when a patient presents with a facial injury, especially in children who cannot give an account of the actual events that transpired. Radiological investigation should be done early when an underlying injury is suspected in a trauma patient. A low threshold for computed tomography should be maintained when proptosis and vision loss are present...
August 25, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28872513/reconstruction-of-orbital-floor-with-auricular-concha
#15
Ergin Seven, Ali Teoman Tellioglu, Emre Inozu, Hulda Rifat Ozakpinar, Ugur Horoz, Avni Tolga Eryilmaz, Sebat Karamursel
Orbital floor fractures of varying sizes commonly occur after orbital injuries and remain a serious challenge. Serious complications of such fractures include enopthalmos, restriction of extraocular movement, and diplopia. There is a dearth of literature that can be applied widely, easily, and successfully in all such situations, and therefore there is no consensus on the treatment protocol of this pathology yet. Autogenous grafts and alloplastic and allogenic materials with a wide variety of advantages and disadvantages have been discussed...
September 1, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28868910/-orbital-compartment-syndrome-the-most-frequent-cause-of-blindness-following-facial-trauma
#16
Gusztáv Klenk, József Katona, Gábor Kenderfi, János Lestyán, Katalin Gombos, Andor Hirschberg
INTRODUCTION: Although orbital compartment syndrome is a rare condition, it is still the most common cause of blindness following simple or complicated facial fractures. Its pathomechanism is similar to the compartment syndrome in the limb. Little extra fluid (blood, oedema, brain, foreign body) in a non-space yielding space results with increasingly higher pressures within a short period of time. Unless urgent surgical intervention is performed the blocked circulation of the central retinal artery will result irreversible ophthalmic nerve damage and blindness...
September 2017: Orvosi Hetilap
https://www.readbyqxmd.com/read/28868601/periorbital-emphysema-after-a-wet-chamber-dive
#17
Wei-Shih Tseng, Hui-Chieh Lee, Bor-Hwang Kang
Although periorbital emphysema (PE) is commonly associated with orbital fractures, it may develop without any fracture or significant trauma in circumstances such as post-surgery, infection, forceful nose blowing, sneezing, and weight lifting. We report on a healthy military diver who developed PE following a wet chamber dive. A diagnosis of PE secondary to sinus barotrauma was reached. He was treated conservatively without medication and his symptoms recovered completely within 10 days. To the best of our knowledge, only five cases of diving-related PE have been reported in the literature...
September 2017: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/28857988/stability-of-orbital-floor-fracture-fixation-after-endoscope-assisted-balloon-placement
#18
Tsutomu Kashimura, Kazutaka Soejima, Yuji Kikuchi, Hiroaki Nakazawa
In recent years, endoscope-assisted balloon fixation using transantral and endonasal approaches has gained popularity as a minimally invasive treatment for orbital floor fractures. However, the optimal duration for balloon placement and the efficacy of the method have not been fully evaluated. The authors report their assessment of this method using postoperative and chronological measurements of the maxillary sinus volume.Fourteen patients with blowout fracture of the orbital floor who underwent reduction using endoscopic transantral and endonasal approaches followed by 6-week fixation with a balloon were evaluated...
August 28, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28857983/can-clinical-findings-predict-orbital-fractures-and-treatment-decisions-in-patients-with-orbital-trauma-derivation-of-a-simple-clinical-model
#19
Paolo Scolozzi, Paul Jacquier, Delphine S Courvoisier
The aim of this study was to determine the predictive value of 4 clinical signs (periorbital ecchymosis, periorbital emphysema, diplopia, and inferior orbital nerve hypoesthesia) for the diagnosis of orbital fractures (OFs) and the need for surgical treatment in patients with orbital trauma. The investigators designed and implemented a retrospective cohort study composed of patients with orbital trauma. The primary and secondary outcomes were respectively the diagnosis of OFs and the need for surgical treatment...
August 28, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28852825/incarceration-of-the-inferior-oblique-muscle-branch-of-the-oculomotor-nerve-in-patients-with-orbital-floor-trapdoor-fracture
#20
Yasuhiro Takahashi, Maria Suzanne Sabundayo, Hidetaka Miyazaki, Hidenori Mito, Hirohiko Kakizaki
PURPOSE: To examine the clinical characteristics of patients with concomitant incarceration of the inferior oblique muscle branch of the oculomotor nerve who had suffered from an orbital floor trapdoor fracture with orbital fat incarceration. METHODS: Fifty-nine patients were retrospectively reviewed. Concomitant inferior oblique muscle branch incarceration was diagnosed by inferior oblique muscle underaction on the Hess chart and a missing inferior oblique muscle branch on computed tomographic images on baseline examination...
August 29, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
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