What is a fractured orbital floor?
Orbital floor fracture This is when a blow or trauma to the orbital rim pushes the bones back, causing the bones of the eye socket floor buckle to downward. This fracture can also affect the muscles and nerves around the eye, keeping it from moving properly and feeling normal.
What is the effect of a orbital floor fracture?
Orbital floor fractures can increase volume of the orbit with resultant hypoglobus and enophthalmos. The inferior rectus muscle or orbital tissue can become entrapped within the fracture, resulting in tethering and restriction of gaze and diplopia.
What signs and symptoms may be seen with an orbital floor fracture?
If you experience a blow to the eye, the following symptoms may indicate an orbital floor blowout:
- History of eye trauma.
- Pain upon looking up and down.
- Tenderness.
- Sunken eye.
- Double vision.
- Severe eyelid and facial swelling.
- Numbness of the upper cheek and gum.
- Severe redness around the white part of the eye.
Where is the orbital floor located?
maxillary sinus
The orbital floor, which forms the roof of the maxillary sinus, slopes upward toward the apex of the pyramid, which lies roughly 44 to 50 mm posterior to the orbital entrance [3,4].
How long does it take for orbital fracture to heal?
Conclusions: Orbital floor strength is regained 24 days after repair. The authors now let patients resume normal activities approximately 3 weeks after uncomplicated orbital floor fracture repair. This is one of many clinical factors in assessing the return to normal activities.
Do all orbital floor fractures need surgery?
Currently, the most common treatment for orbital floor fractures is immediate surgical intervention. However, there are a number of well-documented cases of unoperated orbital floor fractures in the literature, culminating in diplopia or enophthalmos in few patients.
Can an orbital floor fracture heal on its own?
Some orbital wall fractures heal on their own, while others require surgery. Your doctor will discuss which treatment is right for you. Two types of surgery are used for orbital wall fractures: Traditional surgery, which requires an open incision.
What are floor fractures caused by?
Orbital floor fractures may result when a blunt object, which is of equal or greater diameter than the orbital aperture, strikes the eye. The globe usually does not rupture, and the resultant force is transmitted throughout the orbit causing a fracture of the orbital floor.
Can an orbital fracture heal on its own?
What is an orbital fracture of the eye?
An orbital fracture occurs when one or more of the bones around the eyeball break, often caused by a hard blow to the face. To diagnose a fracture, ophthalmologists examine the eye and surrounding area. X-ray and computed tomography scans may also be taken.
What are the symptoms of an orbital fracture?
Bruising— Blood pooling under the skin can cause bruising around the eyes.
How do you repair an orbital fracture?
A fracture of the orbital floor may be repaired through transcutaneous, transconjunctival, or endoscopic (transmaxillary or transnasal) approaches. Transcutaneous techniques may involve an approach through the subciliary area, lower eyelid crease, or orbital rim.
What is the orbital floor?
The adult orbital floor is composed of the maxillary, zygomatic, and palatine bones (see image below). The orbital floor is the shortest of all the walls; it does not reach the orbital apex, measures 35-40 mm, and terminates at the posterior edge of the maxillary sinus.
What is medial orbital wall fracture?
Mechanism. The force of a blow to the orbit is dissipated by a fracture of the surrounding bone, usually the orbital floor and/or the medial orbital wall. In blowout fractures, the medial wall is fractured indirectly. When an external force is applied to the orbital cavity from an object whose diameter is larger than that of the orbit,…