5,605 results match your criteria Fracture Orbital

[Orbital Fractures in Children].

Acta Chir Orthop Traumatol Cech 2021 ;88(2):101-106

Klinika dětské otorinolaryngologie, Fakultní nemocnice Brno a Lékařská fakulta Masarykovy univerzity, Brno.

PURPOSE OF THE STUDY Diagnosis and treatment of fractures of the facial skeleton in children can be difficult due to the skeletal growth. MATERIAL AND METHODS The 9-year retrospective study included patients admitted with the orbital fracture diagnosis to the University Hospital Brno, Children s Hospital, Department of Paediatric ENT, Department of Paediatric Anaesthesiology and Resuscitation, and Department of Paediatric Surgery, Orthopaedics and Traumatology. We looked into the number of patients admitted to the hospital with the orbital fracture diagnosis and the cause of the injury, the age of patients, and the used treatment method - surgical or non-operative treatment were analysed. Read More

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January 2021

Delayed-type retrobulbar hematoma caused by low temperature after reconstruction of inferior blow-out fracture.

Arch Craniofac Surg 2021 Apr 20;22(2):110-114. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Gumi, Korea.

Retrobulbar hemorrhage is a disastrous condition that can lead to permanent blindness. As such, rapid diagnosis and treatment are critical. Here, we report a patient who presented with retrobulbar hemorrhage following an orbital floor fracture. Read More

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Utility of Ocular Motility Tests in Orbital Floor Fractures with Muscle Entrapment That is Not Detected on Computed Tomography.

Clin Ophthalmol 2021 23;15:1677-1683. Epub 2021 Apr 23.

Department of Sense Organs, University Sapienza, Rome, Italy.

Purpose: Determine the usefulness of ocular motility testing to detect the presence of muscle entrapment.

Materials And Methods: Cross-sectional study of patients with symptoms of diplopia secondary to facial trauma. Inclusion criteria: age between 20 and 80 years; symptoms of diplopia following facial trauma; presence of orbital floor fracture confirmed radiologically; presence of muscle entrapment confirmed at the time of surgery; best-corrected visual acuity of 0. Read More

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Surgical Management of Facial Fractures in Geriatric Patients.

J Craniofac Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of Oral, Maxillofacial and Facial Plastic Surgery, University Hospital Leipzig, Leipzig Department of Oral and Maxillofacial Surgery, University Hospital RWTH Aachen, Aachen, Germany Department of Orthopaedic and Trauma Surgery, Cantonal Hospital Luzern, Luzern, Switzerland.

Abstract: Facial fractures comprise a substantial part of traumatology. Due to aging of the population, over the last 20 years, there has been a pattern of redistribution of these fractures with a higher incidence at an older age. The aim of this study was to retrospectively analyze the epidemiology, pattern, and surgical management of facial fractures in geriatric patients presenting at a single tertiary trauma center. Read More

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Posterior occipital gunshot wound causing orbital roof blow-in fracture with encephalocele.

N Callahan L Moles

Int J Oral Maxillofac Surg 2021 Apr 28. Epub 2021 Apr 28.

Department of Oral and Maxillofacial Surgery, University of Illinois at Chicago, Chicago, Illinois, USA.

Isolated orbital roof fractures are rare fractures that usually occur in conjunction with other facial bone fractures during high velocity trauma. This report concerns a patient with an isolated orbital roof fracture with encephalocele, including its diagnosis, surgical management, and clinical follow-up. This case required a multidisciplinary approach to safely repair the fracture, reduce the encephalocele, restore the orbital volume, and restore the patient's form and function. Read More

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Does Intraoperative Computed Tomography Improve the Outcome in Zygomatico-Orbital Complex Fracture Reduction?

J Maxillofac Oral Surg 2021 Jun 16;20(2):189-200. Epub 2020 Jul 16.

Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.

Purpose: Zygomatico-orbital (ZMO) fractures pose considerable difficulty in intraoperative assessment during open reduction and internal fixation (ORIF), and this can be attributed to its three-dimensional complex anatomy and articulations. Recent advancements in the form of intraoperative imaging and navigation have led to an adequate assessment and correct reduction of these fractures minimizing chances of any revision surgery. The purpose of this study was to evaluate the advantage of intraoperative computerized tomography (CT) scan in the management of ZMO/isolated orbital complex fracture and further to develop a protocol for managing such fractures. Read More

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Diseases of the Eyelids and Orbit.

Med Clin North Am 2021 May 2;105(3):551-562. Epub 2021 Apr 2.

Department of Ophthalmology, University of Washington School of Medicine, Box 359608, 325 9th Avenue, Seattle, WA 98104, USA.

The eyelids and orbit encompass intricate bony and soft tissue structures that work harmoniously in concert to protect, support, and nourish the eye in order to facilitate and maintain its function. Insult to periorbital and orbital anatomy can compromise orbital and ocular homeostasis. This article provides a foundational overview of eyelid and orbital anatomy, as well as common and key disorders that may confront internists and medical subspecialists. Read More

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Orbital inflammation in the setting of a nylon foil implant.

Orbit 2021 Apr 27:1-4. Epub 2021 Apr 27.

Department of Ophthalmology, Johns Hopkins Wilmer Eye Institute, Baltimore, Maryland, USA.

A 61-year-old man underwent left medial wall and floor fracture repair with a Suprafoil® implant. He had postoperative orbital congestion and lower eyelid swelling that persisted for over seven weeks. Examination demonstrated hyperglobus with supraduction, infraduction, and adduction deficits. Read More

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Characteristics of Ophthalmic Trauma in Fall-Related Hospitalizations in the United States from 2000 to 2017.

Ophthalmic Epidemiol 2021 Apr 26:1-10. Epub 2021 Apr 26.

The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Falls is a leading cause of injuries nationally and can lead to serious ophthalmic injuries. The purpose of this study is to examine the incidence and characteristics of ophthalmic trauma in patients with fall-related hospitalizations in the United States. Retrospective, cross-sectional study. Read More

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Traumatic dislocation of the eye into the maxillary sinus: Case report and literature review.

J Forensic Sci 2021 Apr 25. Epub 2021 Apr 25.

Institute of Forensic Medicine, University Hospital Ostrava, Ostrava, Czech Republic.

Traumatic dislocation of the eye is usually encountered in high-energy injuries. These include traffic accidents, accidents at work, sporting accidents, falling from a height, impact of the hooves or horns of animals, gunshot injuries, and physical assault. Such incidents are accompanied by facial soft tissue damage and injuries to the facial skeleton, especially the orbit, and can be associated with varying degrees of dislocation of the eye. Read More

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Incidence and management of retrobulbar hemorrhage after blowout fracture repair.

BMC Ophthalmol 2021 Apr 22;21(1):186. Epub 2021 Apr 22.

Department of Ophthalmology, Yeungnam University Medical Center, 317-1, Daemyung dong, Nam-Gu, Daegu, 705-035, South Korea.

Background: Retrobulbar hemorrhage (RBH) is a rare complication after orbital surgery but associated with ocular complications including blindness. The aim of this study was to identify clinical characteristics of patients with RBH requiring emergent orbital decompression after blowout fracture repair.

Method: A retrospective review of 426 blowout fracture patients at a tertiary oculoplastic clinic provided data regarding demographics, physical examination findings, and computed tomography (CT) images. Read More

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Hypotony Without Globe Rupture During Orbital Fracture Repair.

Laryngoscope 2021 Apr 21. Epub 2021 Apr 21.

Department of Otolaryngology-Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.

A 29-year-old male presented to the emergency department with an orbital fracture. He denied ocular symptoms and CT showed bilateral fracture of nasal bones, left medial orbital wall, and left orbital floor, with herniation of orbital fat and minimal retrobulbar hematoma. Pre-operative ophthalmic exam was unremarkable. Read More

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Entrapment of the inferior oblique and inferior rectus muscles in orbital trapdoor fracture.

Orbit 2021 Apr 20:1-4. Epub 2021 Apr 20.

Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Japan.

A 10-year-old male presented to our institution 6 days after sustaining trauma to his right eye from a fall. A thorough physical examination could not be done due to severe eye pain and inability to open the eyelids; however, computed tomographic imaging done at this time showed a trapdoor fracture with incarceration of the inferior oblique and inferior rectus muscles. The fracture was reduced through a transconjunctival incision and secured with a polytetrafluoroethylene implant. Read More

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Orbital Fractures: Principles, Concepts and Management.

Ophthalmic Plast Reconstr Surg 2020 Jul-Aug 01;36(4):425

Stanford University, Stanford, California, U.S.A.

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"Trap Door" Orbital Floor Fractures in Adults: Are They Different from Pediatric Fractures?

Plast Reconstr Surg Glob Open 2021 Apr 15;9(4):e3537. Epub 2021 Apr 15.

College of Dentistry, Riyadh ELM University, Riyadh, Saudi Arabia.

Background: "Trap door" orbital floor fractures are usually seen in children. In the linear fracture type, a break occurs in the bones of the orbital floor that permits orbital tissue to prolapse into the fracture site during fracture formation. The bony fragments of the fracture then return to their original position, entrapping the prolapsed orbital tissue. Read More

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White-eyed blowout fracture with muscle entrapment misdiagnosed as increased intracranial pressure: An important clinical lesson.

Am J Emerg Med 2021 Mar 24. Epub 2021 Mar 24.

Department of Ophthalmology, University of Washington, United States of America. Electronic address:

Patients with white-eyed blowout fracture with muscle entrapment in the pediatric population may be misdiagnosed as increased intracranial pressure (ICP) due to the similarity in presenting symptoms. A delay in the correct diagnosis can lead to permanent sequelae including diplopia, permanent loss of vision, and death. In this case report we discuss the treatment of a male pediatric patient who presented in the ED with nausea, confusion, and restricted eye gaze. Read More

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The Most Common Relationship of a Midface Fracture in Maxillofacial Trauma Study.

J Craniofac Surg 2021 Mar 25. Epub 2021 Mar 25.

School of Dental Sciences, Health Campus, Universiti Sains Malaysia, Kelantan Faculty of Ocean Engineering Technology and Informatics, Universiti Malaysia Terengganu, Terengganu, Malaysia College of Dentistry, Jouf University, Sakaka, Saudi Arabia.

Abstract: Oral and maxillofacial fractures are the most common injuries among multiple trauma. About 5% to 10% of trauma patients having facial fractures. The objectives of this case study are to focus the most common mid-face fractures types' and to determine the relationship of the midface fracture in maxillofacial trauma among the patient who attended the outpatient clinic in a Hospital Universiti Sains Malaysia. Read More

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Repair of unilateral combined orbital floor and medial wall fracture using two titanium mesh plates: a modified technique.

Ann Transl Med 2021 Mar;9(6):463

Department of Ophthalmology, Tianjin Medical University General Hospital, Tianjin, China.

Background: Compared to isolated orbital wall fracture, combined orbital floor and medial wall fractures are more likely to be required surgical correction due to a higher possibility of complications. However, it remains a challenge to repair concomitant orbital fracture using a one-piece implant due to the complex anatomic structures of the orbit. Aiming to reduce surgical difficulties and enhance therapeutic effects, we repaired unilateral combined orbital floor and medial wall fractures using two separated modified titanium mesh plates in this study. Read More

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A 6-Year Epidemiological Study of Mandibular Fractures in Traumatic Patients in North of Iran: Review of 463 Patients.

World J Plast Surg 2021 Jan;10(1):71-77

Department of Plastic & Reconstructive Surgery, Guilan University of Medical Sciences, Rasht, Iran.

Background: Mandibular fracture is considered the second most common facial fracture worldwide. We aimed to evaluate the epidemiology of mandibular fractures in traumatic patients hospitalized at Velayat Teaching Hospital in Rasht, Iran for 6-year.

Methods: In this retrospective study, all traumatic patients with mandibular fractures admitted to Velayat Teaching Hospital, Rasht, northern Iran for 6-year (2013-18) were enrolled. Read More

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January 2021

Multiple Approaches for Managing Complex Ophthalmic Blunt Trauma: A Case Report.

Int Med Case Rep J 2021 31;14:205-210. Epub 2021 Mar 31.

Division of Plastic Reconstruction, Department of Ear, Nose and Throat, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

Introduction: Ophthalmic trauma is defined as injuries affecting the ocular structures, including the globe, eyelid, lacrimal system, and surrounding orbital walls. Blunt trauma acts as the leading cause of injury and it may affect both the anterior and posterior parts of the globe. Prompt diagnosis, early management, and sustained follow-up are mandatory for an optimal outcome. Read More

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Orbital abscess due to infection of a non-absorbable porous orbital implant after orbital wall fracture repair : An uncommon and delayed occurred case.

Eur J Ophthalmol 2021 Apr 5:11206721211008035. Epub 2021 Apr 5.

Department of Ophthalmology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.

We report a rare case of a patient who developed an orbital abscess several years after successful orbital medial wall fracture repair. A 37-year-old female patient who underwent orbital fracture repair with a titanium Medpor orbital implant two years prior visited the clinic for pain, conjunctival injection, discharge, and lid swelling of the right eye. Orbital CT revealed severe orbital cellulitis and sinusitis. Read More

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Bilateral Orbital Reconstruction With Autologous Bone Graft After Gunshot Wound to Upper Midface.

Cureus 2021 Feb 28;13(2):e13611. Epub 2021 Feb 28.

Plastic Surgery, University of Iowa Hospitals and Clinics, Iowa City, USA.

Ballistic maxillofacial injuries are highly destructive, producing significant morbidity and mortality. Survivors' defects pose unique reconstructive challenges, such as loss of periorbital bone stock in upper midface injuries. While orbital reconstruction has transitioned from primarily autologous grafts to alloplastic implants, ballistic trauma remains a niche that warrants the use of autologous bone equally with alloplastic materials. Read More

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February 2021

Tele-Ophthalmology Practices and Attitudes in the Philippines in Light of the COVID-19 Pandemic: A Survey.

Clin Ophthalmol 2021 23;15:1239-1247. Epub 2021 Mar 23.

Department of Ophthalmology and Visual Sciences, Philippine General Hospital, University of the Philippines - Manila, Manila, Philippines.

Background: The Severe Acute Respiratory Syndrome Coronavirus 2 (COVID-19) pandemic has limited patient access to out-patient care, prompting many clinicians to incorporate telemedicine in their practice. This study aims to explore the impact of the pandemic on the use of tele-ophthalmology in the Philippines.

Methodology: A 30-item online survey on practices and attitudes related to tele-ophthalmology was sent to ophthalmologists and ophthalmologists-in-training all over the Philippines. Read More

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Study of Pediatric Operative Recreational Trauma: A Retrospective Analysis of Pediatric Sports-Related Facial Fractures.

J Craniofac Surg 2021 Mar 22. Epub 2021 Mar 22.

Division of Plastic and Reconstructive Surgery, Department of Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston, TX.

Background: In the United States, most school-aged children participate in some form of organized sports. Despite the advantages to social and physical development that organized sports may have, these activities also place a significant number of America's youth at risk for facial injuries. Pediatric facial fractures resulting from sports trauma are well documented within pediatric literature. Read More

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Case report of unilateral retrobulbar hematoma associated with von Willebrand disease in a Doberman Pinscher dog.

Clin Case Rep 2021 Mar 19;9(3):1235-1240. Epub 2021 Jan 19.

Lorrainevet Ludres France.

A 5-year-old Doberman Pinscher dog was presented with sudden onset left-sided periocular bleeding following third eyelid gland replacement surgery. Left-sided exophthalmos and 360-degrees subconjunctival hemorrhage were present. The ophthalmic examination revealed blindness with absent direct and consensual pupillary light reflexes. Read More

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Evidence-Based Protocol for Ophthalmology Consult for Orbital Fractures.

J Oral Maxillofac Surg 2021 Feb 23. Epub 2021 Feb 23.

Residency Program Director & Assistant Professor, Department of Oral & Maxillofacial Surgery, University of Florida Health - Jacksonville, Jacksonville, FL. Electronic address:

Purpose: Previous retrospective studies demonstrate that urgent evaluation by an ophthalmologist for orbital fractures is not required in visually asymptomatic patients, although a consult is often seen as a necessity in many hospital institutions. To determine when an ophthalmology consult is indicated for a surgical patient, the oral and maxillofacial and ophthalmology departments at 1 institution collaborated for an evidence-based approach utilizing retrospective and prospective data.

Patients And Methods: The retrospective arm looked at patients from 2012 to 2017, who had an isolated, surgically repaired orbital fracture without preoperative ophthalmology consultation. Read More

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February 2021

Post-traumatic Orbital Abscess in an Adult With No Evidence of Orbital Fracture, Paranasal Sinusitis, or Foreign Body Migration.

Cureus 2021 Feb 16;13(2):e13376. Epub 2021 Feb 16.

Oculoplastic, Orbital and Lacrimal Surgery, Aichi Medical University Hospital, Aichi, JPN.

A 35-year-old man was hit against his left eye by his child's foot. Two days following trauma, the patient noticed diplopia in the upward and right gazes. On the first examination seven days after trauma, computed tomographic (CT) images revealed a small mass in the inferolateral orbit near the inferior orbital fissure. Read More

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February 2021

Validation of Hydraulic Mechanism during Blowout Trauma of Human Orbit Depending on the Method of Load Application.

Appl Bionics Biomech 2021 4;2021:8879847. Epub 2021 Mar 4.

Department of Ophthalmology, Faculty of Medicine, Medical University of Gdańsk, Gdańsk 80-210, Poland.

The more we know about mechanisms of the human orbital blowout type of trauma, the better we will be able to prevent them in the future. As long as the mechanism's veracity is not in doubt, the mechanism is not based on equally strong premises. To investigate the correctness of the hydraulic mechanism's theory, two different methods of implementation of the hydraulic load to the finite element method (FEM) model of the orbit were performed. Read More

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A Review of Frontal Orbital and Frontal Sinus Fractures and Associated Ocular Injuries - Level I Trauma Center - University Hospital Experience.

J Craniofac Surg 2021 Mar 12. Epub 2021 Mar 12.

Division of Plastic and Reconstructive Surgery, McGill University, Montreal, Quebec, Canada.

Background: : Traumatic frontal fractures result from high force injuries and can result in significant morbidity and mortality. The purpose of the current study is to evaluate our Montreal General Hospital (MGH) experience with frontal bone fractures.

Methods: : A comprehensive review of our trauma database was performed. Read More

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Cesk Slov Oftalmol 2021 ;77(1):45-48

Orbital fractures may be accompanied with severe damage of the eye bulb and other intraorbital tissues. Early clinical findings can be very mild, therefore it is vital to actively seek not only for any damage done to the soft tissues of the orbit, but also for extraorbital complications such as liquorrhea or meningitis. We report a relatively rare case of blow-in fracture of orbital roof in eleven years old boy. Read More

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