orbital fractures

Summary

Summary: Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma.

Top Publications

  1. Cook T. Ocular and periocular injuries from orbital fractures. J Am Coll Surg. 2002;195:831-4 pubmed
    b>Orbital fractures are associated with ocular and periocular injuries. The role of the ophthalmologist in the evaluation and management of facial trauma, including orbital fractures, has not been clearly defined...
  2. Jurdy L, Malhotra R. White-eyed medial wall blowout fracture mimicking head injury due to persistent oculocardiac reflex. J Craniofac Surg. 2011;22:1977-9 pubmed publisher
    ..Computed tomography imaging of the orbit should be performed to confirm the diagnosis, followed by immediate surgical intervention to avoid ischemia and permanent injury...
  3. Gosse E, Ferguson A, Lymburn E, Gilmour C, Macewen C. Blow-out fractures: patterns of ocular motility and effect of surgical repair. Br J Oral Maxillofac Surg. 2010;48:40-3 pubmed publisher
    ..Entrapment of muscle or tissue is not the only cause of motility disturbance after blow-out fractures, and orbital surgery is only one aspect of management in those patients with persistent motility defects...
  4. Zix J, Schaller B, Iizuka T, Lieger O. The role of postoperative prophylactic antibiotics in the treatment of facial fractures: a randomised, double-blind, placebo-controlled pilot clinical study. Part 1: orbital fractures in 62 patients. Br J Oral Maxillofac Surg. 2013;51:332-6 pubmed publisher
    ..We conclude that in displaced orbital fractures a postoperative 1-day course of antibiotics is as effective in preventing infective complications as a 5-day ..
  5. Pascual J, Navas M, Carrasco R. Penetrating ballistic-like frontal brain injury caused by a metallic rod. Acta Neurochir (Wien). 2009;151:689-91 pubmed publisher
    ..Successful surgical treatment of an orbitocranial injury caused by a similar object has not previously been reported...
  6. Cobb A, Murthy R, Manisali M, Uddin J, Toma A. Oculovagal reflex in paediatric orbital floor fractures mimicking head injury. Emerg Med J. 2009;26:351-3 pubmed publisher
    ..Children with orbital blowout fractures present in a different manner from adults. The classic presentation in children is a white eye injury (ie, no subconjunctival haemorrhage) with upgaze diplopia and general malaise...
  7. Nowinski D, Messo E, Hedlund A. Treatment of orbital fractures: evaluation of surgical techniques and materials for reconstruction. J Craniofac Surg. 2010;21:1033-7 pubmed publisher
    ..Reconstruction of the medial orbital wall is important to prevent posttraumatic enophthalmos, particularly in combined medial wall-orbital floor fractures...
  8. Kozakiewicz M, Elgalal M, Piotr L, Broniarczyk Loba A, Stefanczyk L. Treatment with individual orbital wall implants in humans - 1-Year ophthalmologic evaluation. J Craniomaxillofac Surg. 2011;39:30-6 pubmed publisher
    ..That study showed that it is financially viable to produce anatomical models and that this technology could be used in the repair of orbital floor fractures...
  9. Jackson B. Orbital trauma, bradycardia, and vomiting: trapdoor fracture and the oculocardiac reflex: a case report. Pediatr Emerg Care. 2010;26:143-5 pubmed publisher
  10. Chi M, Ku M, Shin K, Baek S. An analysis of 733 surgically treated blowout fractures. Ophthalmologica. 2010;224:167-75 pubmed publisher
    To evaluate current patient demographics and surgical outcomes from a large series of 733 surgically treated orbital fractures from an ophthalmologist's perspective.

Detail Information

Publications62

  1. Cook T. Ocular and periocular injuries from orbital fractures. J Am Coll Surg. 2002;195:831-4 pubmed
    b>Orbital fractures are associated with ocular and periocular injuries. The role of the ophthalmologist in the evaluation and management of facial trauma, including orbital fractures, has not been clearly defined...
  2. Jurdy L, Malhotra R. White-eyed medial wall blowout fracture mimicking head injury due to persistent oculocardiac reflex. J Craniofac Surg. 2011;22:1977-9 pubmed publisher
    ..Computed tomography imaging of the orbit should be performed to confirm the diagnosis, followed by immediate surgical intervention to avoid ischemia and permanent injury...
  3. Gosse E, Ferguson A, Lymburn E, Gilmour C, Macewen C. Blow-out fractures: patterns of ocular motility and effect of surgical repair. Br J Oral Maxillofac Surg. 2010;48:40-3 pubmed publisher
    ..Entrapment of muscle or tissue is not the only cause of motility disturbance after blow-out fractures, and orbital surgery is only one aspect of management in those patients with persistent motility defects...
  4. Zix J, Schaller B, Iizuka T, Lieger O. The role of postoperative prophylactic antibiotics in the treatment of facial fractures: a randomised, double-blind, placebo-controlled pilot clinical study. Part 1: orbital fractures in 62 patients. Br J Oral Maxillofac Surg. 2013;51:332-6 pubmed publisher
    ..We conclude that in displaced orbital fractures a postoperative 1-day course of antibiotics is as effective in preventing infective complications as a 5-day ..
  5. Pascual J, Navas M, Carrasco R. Penetrating ballistic-like frontal brain injury caused by a metallic rod. Acta Neurochir (Wien). 2009;151:689-91 pubmed publisher
    ..Successful surgical treatment of an orbitocranial injury caused by a similar object has not previously been reported...
  6. Cobb A, Murthy R, Manisali M, Uddin J, Toma A. Oculovagal reflex in paediatric orbital floor fractures mimicking head injury. Emerg Med J. 2009;26:351-3 pubmed publisher
    ..Children with orbital blowout fractures present in a different manner from adults. The classic presentation in children is a white eye injury (ie, no subconjunctival haemorrhage) with upgaze diplopia and general malaise...
  7. Nowinski D, Messo E, Hedlund A. Treatment of orbital fractures: evaluation of surgical techniques and materials for reconstruction. J Craniofac Surg. 2010;21:1033-7 pubmed publisher
    ..Reconstruction of the medial orbital wall is important to prevent posttraumatic enophthalmos, particularly in combined medial wall-orbital floor fractures...
  8. Kozakiewicz M, Elgalal M, Piotr L, Broniarczyk Loba A, Stefanczyk L. Treatment with individual orbital wall implants in humans - 1-Year ophthalmologic evaluation. J Craniomaxillofac Surg. 2011;39:30-6 pubmed publisher
    ..That study showed that it is financially viable to produce anatomical models and that this technology could be used in the repair of orbital floor fractures...
  9. Jackson B. Orbital trauma, bradycardia, and vomiting: trapdoor fracture and the oculocardiac reflex: a case report. Pediatr Emerg Care. 2010;26:143-5 pubmed publisher
  10. Chi M, Ku M, Shin K, Baek S. An analysis of 733 surgically treated blowout fractures. Ophthalmologica. 2010;224:167-75 pubmed publisher
    To evaluate current patient demographics and surgical outcomes from a large series of 733 surgically treated orbital fractures from an ophthalmologist's perspective.
  11. Mitilian D, Charon B, Brunelle F, Di Rocco F. Removal of a chopstick out of the cavernous sinus, pons, and cerebellar vermis through the superior orbital fissure. Acta Neurochir (Wien). 2009;151:1295-7 pubmed publisher
    ..The foreign body was successfully pulled out in one piece surgically...
  12. Folkestad L, Westin T. Long-term sequelae after surgery for orbital floor fractures. Otolaryngol Head Neck Surg. 1999;120:914-21 pubmed
    ..Our conclusion is that, because long-term sequelae are common, the surgical technique must be subjected to continuous quality control to minimize future problems for this group of patients...
  13. Schon R, Metzger M, Zizelmann C, Weyer N, Schmelzeisen R. Individually preformed titanium mesh implants for a true-to-original repair of orbital fractures. Int J Oral Maxillofac Surg. 2006;35:990-5 pubmed
    ..The reconstruction using preformed implants proved to be less time consuming, more precise and less invasive, compared to 'free hand' efforts, for the repair of orbital injuries using titanium mesh and calvarial grafts...
  14. Kozakiewicz M, Elgalal M, Loba P, Komuński P, Arkuszewski P, Broniarczyk Loba A, et al. Clinical application of 3D pre-bent titanium implants for orbital floor fractures. J Craniomaxillofac Surg. 2009;37:229-34 pubmed publisher
    ..Such models can be used as templates to form titanium mesh implants, which are then used in the reconstruction of orbital floor defects...
  15. Büchel P, Rahal A, Seto I, Iizuka T. Reconstruction of orbital floor fracture with polyglactin 910/polydioxanon patch (ethisorb): a retrospective study. J Oral Maxillofac Surg. 2005;63:646-50 pubmed
    ..We sought to evaluate the effectiveness and the complications related to the use of Ethisorb (resorbable alloplastic material) in the reconstruction of orbital floor fractures...
  16. Manolidis S, Weeks B, Kirby M, Scarlett M, Hollier L. Classification and surgical management of orbital fractures: experience with 111 orbital reconstructions. J Craniofac Surg. 2002;13:726-37; discussion 738 pubmed
    ..The nasoethmoidal region was involved in 32%, the zygomatic complex in 50%, and the frontal region in 28% of orbital fractures. Of the orbital walls, four walls were involved in 5%, three walls in 17%, two walls in 30%, and one wall in ..
  17. Burnstine M. Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis. Ophthalmology. 2002;109:1207-10; discussion 1210-1; quiz 1212-3 pubmed
    ..To assess the quality of information in the literature and suggest guidelines for repair of isolated orbital floor fractures...
  18. Hosal B, Beatty R. Diplopia and enophthalmos after surgical repair of blowout fracture. Orbit. 2002;21:27-33 pubmed
    ..To evaluate the incidence of residual diplopia and enophthalmos and the possible risk factors leading to their occurrence in patients who had orbital blowout fracture repair...
  19. Losee J, Afifi A, Jiang S, Smith D, Chao M, Vecchione L, et al. Pediatric orbital fractures: classification, management, and early follow-up. Plast Reconstr Surg. 2008;122:886-97 pubmed publisher
    Scarce literature exists addressing the presentation, classification, and management of pediatric orbital fractures. The aim of this study is to review the authors' experience with the presentation, management, and early follow-up of ..
  20. Fan X, Zhou H, Lin M, Fu Y, Li J. Late reconstruction of the complex orbital fractures with computer-aided design and computer-aided manufacturing technique. J Craniofac Surg. 2007;18:665-73 pubmed
    To construct three-dimensional (3D) imaging and computer generated models of complex orbital fractures, and develop a Computer-Aided Design/Computer-Aided Manufacture (CAD/CAM) system to help improve the surgical planning of complex ..
  21. Hatton M, Watkins L, Rubin P. Orbital fractures in children. Ophthalmic Plast Reconstr Surg. 2001;17:174-9 pubmed
    To describe the demographics, etiologic factors, clinical presentations, and outcomes of orbital fractures in children.
  22. Ploder O, Oeckher M, Klug C, Voracek M, Wagner A, Burggasser G, et al. Follow-up study of treatment of orbital floor fractures: relation of clinical data and software-based CT-analysis. Int J Oral Maxillofac Surg. 2003;32:257-62 pubmed
    ..Software-based CT-analysis is helpful for objective interpretation in managing of orbital fractures.
  23. Burnstine M. Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol. 2003;14:236-40 pubmed
    ..Orbital facial fractures are a common result of facial trauma. Enophthalmos, diplopia resulting from extraocular muscle dysfunction, and infraorbital nerve hypesthesia may occur. The indications and timing for fracture repair are debated...
  24. Metzger M, Schön R, Weyer N, Rafii A, Gellrich N, Schmelzeisen R, et al. Anatomical 3-dimensional pre-bent titanium implant for orbital floor fractures. Ophthalmology. 2006;113:1863-8 pubmed
    ..This cadaver study evaluates the use of pre-bent 3-dimensional titanium mesh implants for orbital floor and medial wall reconstruction...
  25. Banerjee A, Moore C, Tse R, Matic D. Rounding of the inferior rectus muscle as an indication of orbital floor fracture with periorbital disruption. J Otolaryngol. 2007;36:175-80 pubmed
    ..To determine if rounding of the inferior rectus muscle on coronal computed tomographic (CT) scans predicts disruption of the periorbita in orbital floor fractures and therefore predicts delayed enophthalmos...
  26. Matteini C, Renzi G, Becelli R, Belli E, Iannetti G. Surgical timing in orbital fracture treatment: experience with 108 consecutive cases. J Craniofac Surg. 2004;15:145-50 pubmed
    b>Orbital fractures can lead to esthetic deformities and functional impairments, and adequate surgical timing is considered important in obtaining good results from surgery...
  27. Brown M, Ky W, Lisman R. Concomitant ocular injuries with orbital fractures. J Craniomaxillofac Trauma. 1999;5:41-6; discussion 47-8 pubmed
    ..The purpose of this retrospective review was to determine the incidence of purity in orbital floor blowout fractures and the rate of ocular injuries in pure and impure floor fractures...
  28. McCulley T, Yip C, Kersten R, Kulwin D. Medial rectus muscle incarceration in pediatric medial orbital wall trapdoor fractures. Eur J Ophthalmol. 2004;14:330-3 pubmed
    ..We describe two cases of orbital trapdoor fractures with medial rectus muscle incarceration...
  29. He D, Blomquist P, Ellis E. Association between ocular injuries and internal orbital fractures. J Oral Maxillofac Surg. 2007;65:713-20 pubmed
    ..This study was performed to assess the association between orbital blowout fractures and ocular injuries...
  30. Hwang J, Lim H. Acquired simulated brown syndrome following surgical repair of medial orbital wall fracture. Korean J Ophthalmol. 2005;19:80-3 pubmed
    ..Postoperatively, the patient was asymptomatic in all diagnostic gaze positions...
  31. Cruz A, Eichenberger G. Epidemiology and management of orbital fractures. Curr Opin Ophthalmol. 2004;15:416-21 pubmed
    b>Orbital fractures are usually associated with ocular and intracranial injuries. The recent literature on orbital fractures is analyzed with emphasis on epidemiology, assessment, and surgical management.
  32. Vairaktaris E, Moschos M, Vassiliou S, Kalimeras E, Avgoustidis D, Moschos M. Delayed appearance of diplopia due to orbital emphysema after repair of orbital fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:e8-e10 pubmed publisher
    ..The patient had been operated on for orbital fractures 12 days previously...
  33. Chibbaro S, Tacconi L. Orbito-cranial injuries caused by penetrating non-missile foreign bodies. Experience with eighteen patients. Acta Neurochir (Wien). 2006;148:937-41; discussion 941-2 pubmed
    ..Penetrating non-missile orbito-cranial injuries are uncommon civilian injuries which have some special features. Only limited case-reports are available in the international literature...
  34. Harris G. Orbital blow-out fractures: surgical timing and technique. Eye (Lond). 2006;20:1207-12 pubmed
    ..To recommend a tailored approach to surgical timing in the repair of orbital blow-out fractures, and to offer suggestions for improved functional and aesthetic surgical outcomes...
  35. Salentijn E, van den Bergh B, Forouzanfar T. A ten-year analysis of midfacial fractures. J Craniomaxillofac Surg. 2013;41:630-6 pubmed publisher
    ..This retrospective study presents an investigation of the aetiology and incidence of midfacial fractures in Amsterdam over a period of 10 years...
  36. Beck Broichsitter B, Acar C, Kandzia C, Jochens A, Wiltfang J, Becker S. Reconstruction of the orbital floor with polydioxanone: a long-term clinical survey of up to 12 years. Br J Oral Maxillofac Surg. 2015;53:736-40 pubmed publisher
    ..Long-term complications such as diplopia, compromised bulbar motility, and hyperaesthesia of the cheek were seen in a few cases, but might not have been solely related to the use of polydioxanone. ..
  37. Baino F. Biomaterials and implants for orbital floor repair. Acta Biomater. 2011;7:3248-66 pubmed publisher
  38. Wu W, Yan W, Cannon P, Jiang A. Endoscopic transethmoidal and transconjunctival inferior fornix approaches for repairing the combined medial wall and orbital floor blowout fractures. J Craniofac Surg. 2011;22:537-42 pubmed publisher
    ..To assess the combination of an endoscopic transethmoidal approach (ETEA) and a transconjunctival inferior fornix approach (TIFA) for repairing combined orbital floor and medial wall blowout fractures (COF-MWBOFs)...
  39. Hojjat H, Svider P, Lin H, Folbe A, Shkoukani M, Eloy J, et al. Adding Injury to Insult: A National Analysis of Combat Sport-Related Facial Injury. Ann Otol Rhinol Laryngol. 2016;125:652-9 pubmed publisher
    ..Furthermore, injury patterns reported in this analysis may serve as an adjunct for enhancing clinical history taking and physical examination. ..
  40. Kellman R, Schmidt C. The paranasal sinuses as a protective crumple zone for the orbit. Laryngoscope. 2009;119:1682-90 pubmed publisher
    ..The purpose of this study is to test the theory that the paranasal sinuses serve a protective function for the central nervous system and special sensory organs...
  41. Chang S, Custer P, Mohadjer Y, Scott E. Use of Lorenz titanium implants in orbital fracture repair. Ophthalmic Plast Reconstr Surg. 2009;25:119-22 pubmed publisher
    ..To present the experience and outcomes of orbital fracture repair using Lorenz titanium orbital implants in one tertiary care center...
  42. Moe K, Kim L, Bergeron C. Transorbital endoscopic repair of cerebrospinal fluid leaks. Laryngoscope. 2011;121:13-30 pubmed publisher
    ..To describe an anatomic and clinical outcome study of transorbital neuroendoscopic surgical (TONES) for the repair of complex anterior cranial fossa (ACF) cerebrospinal fluid (CSF) leaks...
  43. Ezzat W, El Hasan M, Rabie H. Validity and accuracy of subciliary endoscopic-aided repair of orbital floor fractures. Eur Arch Otorhinolaryngol. 2011;268:935-40 pubmed publisher
  44. Hwang K, Kim D. Comparison of the supporting strength of a poly-L-lactic acid sheet and porous polyethylene (Medpor) for the reconstruction of orbital floor fractures. J Craniofac Surg. 2010;21:847-53 pubmed publisher
    ..However, the supporting power of the PLLA sheet was stronger than that of Medpor...
  45. Li Y, Fan X. [Application of computer-aided surgical navigation system in orbital surgery]. Zhonghua Yan Ke Za Zhi. 2011;47:759-61 pubmed
    ..introduces the essential elements, fundamental principles, and implementation steps of the navigation system; further reviews its usefulness and progress in orbital fractures reduction, orbital tumor surgery and orbital decompression.
  46. Snell B, Flapper W, Moore M, Anderson P, David D. Management of isolated fractures of the medial orbital wall. J Craniofac Surg. 2013;24:291-4 pubmed publisher
    ..The thresholds for fracture area and, in particular, volume of displaced tissue, proposed by Jin et al (J Oral Maxillofac Surg 2000;58:617-620), show merit as a tool for determining patient management...
  47. Raschke G, Djedovic G, Peisker A, Wohlrath R, Rieger U, Guentsch A, et al. The isolated orbital floor fracture from a transconjunctival or subciliary perspective-A standardized anthropometric evaluation. Med Oral Patol Oral Cir Bucal. 2016;21:e111-7 pubmed
    The influence of orbital fractures and their repair on the rate of deformities of the lower eyelid is an ongoing source of discussion in the literature...
  48. Mayercik V, Eller A, Stefko S. Ocular injuries in all-terrain-vehicle accidents. Injury. 2012;43:1462-5 pubmed publisher
    ..To examine the occurrence and extent of ocular injuries in ATV accidents in southwestern Pennsylvania...
  49. Bellamy J, Mundinger G, Reddy S, Flores J, Rodriguez E, Dorafshar A. Le Fort II fractures are associated with death: a comparison of simple and complex midface fractures. J Oral Maxillofac Surg. 2013;71:1556-62 pubmed publisher
    ..To investigate whether complex midface fractures have a greater association with death and intracranial injury than simple midface fractures...
  50. Koppen H, De Bruijn S. [A woman with gas behind her eye]. Ned Tijdschr Geneeskd. 2010;154:A499 pubmed
    ..A 72-year-old woman had reduced vision due to orbital emphysema after a blow-out fracture...
  51. Nagasao T, Miyamoto J, Jiang H, Tamaki T, Kaneko T. Experimental evaluation of susceptibility to fractures of the orbital floor in patients with unilateral complete cleft palate. Scand J Plast Reconstr Surg Hand Surg. 2010;44:130-9 pubmed publisher
    ..We conclude that orbital floor fractures develop in wider areas in patients with unilateral complete cleft palates, because of the instability of the maxilla on the cleft side...
  52. Feyaerts F, Hermans R. The black eyebrow sign in orbital blowout fracture. JBR-BTR. 2009;92:251-2 pubmed
    ..By consequensce, knowledge of the black eyebrow sign is very useful especially to more unexperienced radiologists working at the emergency department...
  53. Gordon C, Susarla S, Yaremchuk M. Quantitative assessment of medial orbit fracture repair using computer-designed anatomical plates. Plast Reconstr Surg. 2012;130:698e-705e pubmed publisher
  54. Lee S, Lee J, Lee S, Kim S. A case of pseudo-Duane's retraction syndrome with old medial orbital wall fracture. Korean J Ophthalmol. 2009;23:329-31 pubmed publisher
    ..The importance of several tests such as the forced duction test and an imaging study should be emphasized in making a diagnosis for limitation of eye movement...
  55. Kontio R, Lindqvist C. Management of orbital fractures. Oral Maxillofac Surg Clin North Am. 2009;21:209-20, vi pubmed publisher
    ..Postoperative CT scan evaluation is of utmost importance regardless of the reconstruction method used...
  56. Lee J, Baek S. Antiadhesive effect of mixed solution of sodium hyaluronate and sodium carboxymethylcellulose after blow-out fracture repair. J Craniofac Surg. 2012;23:1878-83 pubmed publisher
    ..Our results suggest that the application of HACMC solution could be an effective adjunct for the repair of trap-door fractures or revision of blow-out fractures...
  57. Lu W, Zhou H, Xiao C, Shen Q, Lin M, Fan X. Late correction of orbital-zygomatic-maxillary fractures combined with orbital wall fractures. J Craniofac Surg. 2012;23:1672-6 pubmed publisher
    ..This study was aimed to investigate the surgical technique and operative effect of late reconstruction of OZM fractures combined with orbital wall fractures...
  58. Loretan S, Scolozzi P. Pneumomediastinum secondary to isolated orbital floor fracture. J Craniofac Surg. 2011;22:1502-3 pubmed publisher
    ..We report here the rare case of a patient with PM after isolated orbital fracture. Only 3 similar cases have been previously reported in the literature...
  59. Kirby E, Turner J, Davenport D, Vasconez H. Orbital floor fractures: outcomes of reconstruction. Ann Plast Surg. 2011;66:508-12 pubmed publisher
    ..Bone rigidity, unpredictable thickness, and resorption may contribute. Once the gold standard of orbital reconstruction, autologous bone may have been eclipsed by modern materials...
  60. Ma Luf R. Cyst formation associated with porous polyethylene orbital floor implant. Orbit. 2010;29:343-5 pubmed publisher
    ..Porous implants when placed in the subperiosteal space might not get incorporated with surrounding tissues and therefore behave like any traditional nonporous alloplastic material...
  61. Deyle S, Exadaktylos A, Kneubuehl B, Buck U, Thali M, Voisard M. Collateral damage--penetrating head injury and orbital injury: a case report. Am J Forensic Med Pathol. 2011;32:215-8 pubmed publisher
    ..Only a small line--resembling a cut--was externally visible. The man died in the hospital from his injuries; his wife suffered visual loss of her left eye...
  62. Scolozzi P. [A combined transcaruncular transconjunctival approach to orbital medial wall fractures. Surgical technique]. Rev Stomatol Chir Maxillofac. 2010;111:302-7 pubmed publisher
    ..This approach can be combined with a transconjunctival approach, thus providing an extended exposure of the whole medial wall and the orbital floor...