Orbital Floor Fractures

Nikolaenko, Vadim P.; Astakhov, Yury S.

doi:10.1007/978-3-662-46208-9_3

Cited by 6 publications

(14 citation statements)

References 451 publications

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“…In contrast, a blowout fracture functions as a pressure release valve according to the hydraulic theory. The impact force raises the intraorbital pressure, which is then passed towards the orbital bones nearby and causes a fracture at the point of least resistance [4].…”

Section: Discussionmentioning

confidence: 99%

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Untitled

2022

OCR

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Pediatric facial fractures constitute less than 15% of all facial fractures encountered in the hospital setting. Orbital blowout fractures comprise approximately 20% of all pediatric facial fractures [1]. Specifically, a "white-eyed blow out fracture (WEBOF)' is even more uncommon and was first described by Jordan et al in 1998 as a term used for pediatric patients sustaining trauma to the periorbital area

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Section: Discussionmentioning

confidence: 99%

“…This constitutes a triad of symptoms: bradycardia, nausea, and faintness. Although the risk of oculocardiac reflex is very rare, these symptoms may be fatal and thus warrant urgent surgical intervention [4,7]. In a 2018 research, Yamanaka et al examined patients with orbital-floor blowout fractures who had surgery after being injured.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2022

OCR

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“…In contrast, a blowout fracture functions as a pressure release valve according to the hydraulic theory. The impact force raises the intraorbital pressure, which is then passed towaords the orbital bones nearby and causes a fracture at the point of least resistance [4].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

White Eyed Blow out Fracture

Nicanor¹,

Valencia²

2022

J Opht Res Rev Rep

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“White-eyed blow out fracture (WEBOF)” is a term used for children who had periorbital trauma with mild signs of soft tissue damage. WEBOF can be easily missed, resulting in a lost opportunity for surgical intervention. A pediatric patient presented with vomiting and diplopia after sustaining trauma, she was referred to our institution 2 weeks after a suspected head injury. Examination showed marked limitation on upgaze and downgaze on the right eye with accompanying diplopia. CT scan of the orbits revealed a right orbital floor fracture, with herniation of orbital fat and a mildly thickened right inferior rectus muscle. Patient underwent repair of orbital floor fracture and release of muscle entrapment with silicone implant under general anesthesia. Although release of muscle entrapment and repair of floor fracture was achieved, EOM underaction on vertical gaze and diplopia persisted. Timely diagnosis and intervention of WEBOF is important, not only to reverse the oculocardiac reflex but also to minimize the possibility of permanent ischemic injury and contracture of the involved extraocular muscle, which could lead to long-term strabismus and diplopia. Because the first clinical presentation is similar to that of a head injury, it is often overlooked, resulting in a delay in diagnosis and permanent morbidity.

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“…For orbital fractures, the AAO endorses a waiting period of 10–14 days before surgical intervention to allow for acute swelling to diminish. Initial and prompt assessment by an ophthalmologist or facial trauma consultant is nonetheless critical, as 11%–15% of orbital fractures are associated with vision-threatening ophthalmologic emergencies 16–18…”

Section: Introductionmentioning

confidence: 99%

Demographic and socioeconomic disparities in receipt of ophthalmology consultation for facial trauma

Gervasio,

Camarena,

Hampton

et al. 2023

BMJ Open Ophth

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ObjectiveFunctional outcomes following facial and ocular trauma are time-sensitive and require prompt evaluation to minimise long-term vision loss, yet few studies have systematically evaluated disparities in the management of these cases. This study investigates whether a patient’s race/ethnicity, primary language, insurance status, gender or age affects receipt of ophthalmology consultation for facial trauma.Methods and analysisThis study was a retrospective cohort analysis of patients from the Elmhurst City Hospital Trauma Registry in Queens, New York who were seen for facial trauma including open globe injuries and orbital fractures between January 2014 and May 2016.ResultsOf the 264 patients included, 43% reported as Hispanic, 23% white, 11% Asian, 8% black and 15% other/unknown. After controlling for confounding variables by multivariable logistic regression, neither race/ethnicity, gender, nor primary language were significantly associated with the likelihood of receiving an ophthalmology consult. However, patients with private insurance had 2.57 times greater odds of receiving an ophthalmology consultation than those with Medicaid or state corrections insurance (95% CI 1.37 to 4.95). As age increased, the likelihood of receiving an ophthalmology consultation decreased (p=0.009); patients 60 years of age and older had one-third the odds of ophthalmology consultation as younger patients (OR 0.33; 95% CI 0.16 to 0.68).ConclusionsThis study highlights that lack of ophthalmology consultation in patients with facial trauma is linked to age and underinsurance. Extra attention must be paid during primary assessments to ensure elderly patients and those with public insurance have equitable access to timely and appropriate care for facial trauma.

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Orbital Floor Fractures

Cited by 6 publications

References 451 publications

Untitled

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White Eyed Blow out Fracture

Demographic and socioeconomic disparities in receipt of ophthalmology consultation for facial trauma

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