Concomitant Medical Wall Fracture and Blowout Fracture of the Orbit

Dodick, Jack M.; Galin, Miles A.; Littleton, Jesse T.; Sod, Louis M.

doi:10.1001/archopht.1971.00990050275003

Cited by 39 publications

(14 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tomography is usually necessary to demonstrate involvement of the medial orbital wall [1-3 , 14]. Hypocycloidal tomography is superior to linear tomography in the demonstration of medial orbital wall fracture [4].…”

Section: Discussionmentioning

confidence: 99%

“…About 50 % of blow-out fractures of the orbital floor are associated with a similar fracture of the medial orbital wall. The plain radiographic and tomographic findings have been described [1][2][3][4]. Recently the value of computed tomography (CT) in the evaluation of orbital trauma and particularly blow-out fracture of the orbital floor and muscle entrapm ent has been emphasized [5,6].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Computed tomography of blow-out fracture of the medial orbital wall

Zilkha¹

1981

American Journal of Roentgenology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Computed tomography of blow-out fracture of the medial orbital wall

Zilkha¹

1981

American Journal of Roentgenology

View full text Add to dashboard Cite

“…Although the inferior orbital wall is known as the site most frequently involved in orbital blow-out fractures, combined or isolated medial orbital wall fractures are not uncommon (Dodick et al, 1971;Rumelt and Ernest, 1972;Davidson et al, 1975;Pearl and Vistnes, 190 1978;Mathog, 1980;Cruse et al, 1980;Coker et al, 1983;Rauch, 1985;De Visscher and van der Wal, 1988;Segrest and Dortzbach, 1989). Burm, Chung and Oh reported that the incidence of isolated medial wall fractures (54.9%) or those in combination with an orbital 195 floor fracture (26.8%) was much higher than formerly expected (Burm et al, 1999).…”

mentioning

confidence: 99%

Repair of Medial Orbital Wall Fracture: Transcaruncular Approach

S¹,

M²,

Sh³

et al. 2005

Orbit

View full text Add to dashboard Cite

The aim of this paper is to demonstrate the safety and the use of the transcaruncular approach as a surgical technique for managing a medial wall fracture. This approach was used in 40 patients with a isolated medial or a combined medial and inferior orbital wall fracture between September 1998 and September 2002. A computed tomographic scan was taken before and after surgery. The ocular motility and enophthalmos were checked before and after surgery. The transcaruncular approach provided the appropriate surgical exposure in all cases. Patients were followed up for a mean of 9.4 months (range, 524 months) after repairing the orbital wall fracture. Hertel exophthalmometry showed that among the 40 patients; 24 patients showed no enophthalmos. The enophthalmos ranged from 0.51 mm in 14 patients and 1.5 mm enphthalmos was noted in 2 patients. A clinically significant enophthalmos =2 mm was not found postoperatively. Preoperatively, 12 patients (30%) had a diplopia in the primary position of the gaze and 26 patients (65%) had a diplopia within 30 degrees of the gaze. Postoperatively, all patients had an orthotropia in the primary position but 4 patients (10%) had a residual diplopia either on the lateral gaze (2 patients) or the upgaze (2 patients). There were 2 cases of an implant misplacement. The transcaruncular approach provides a safe, rapid, and cosmetically pleasing surgical approach for managing a isolated medial wall fracture. When combined with the inferior transconjunctival approach, a combined medial and inferior orbital wall fracture can be successfully repaired.

show abstract

“…Concomitant medial orbital wall fractures have been reported to occur in 7% to 53% of floor fracture cases. [1][2][3][4] Isolated medial orbital wall fractures are uncommon, 1,4 but they are probably underdiagnosed because of lack of symptoms. However, isolated medial orbital wall fractures with associated incarceration of the medial rectus muscle are rare, with the largest series of consisting of 4 cases.…”

mentioning

confidence: 99%

Isolated Medial Orbital Wall Fractures With Medial Rectus Muscle Incarceration

Brannan

Kersten²,

Kulwin³

2006

Ophthalmic Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

Isolated medial orbital wall fractures with medial rectus muscle incarceration are rare. Ocular motility abnormalities were the only indication of underlying fracture in the majority of our cases. Clinicians should be alerted to the anticipated presentation of medial wall fractures with incarceration of the medial rectus muscle, including the possibility of a "white eye" and normal abduction of the traumatized eye.

show abstract

Concomitant Medical Wall Fracture and Blowout Fracture of the Orbit

Cited by 39 publications

References 5 publications

Computed tomography of blow-out fracture of the medial orbital wall

Computed tomography of blow-out fracture of the medial orbital wall

Repair of Medial Orbital Wall Fracture: Transcaruncular Approach

Isolated Medial Orbital Wall Fractures With Medial Rectus Muscle Incarceration

Contact Info

Product

Resources

About