Left Orbital Floor Blowout Fracture

Blowout fractures of the orbit most frequently affect the middle third of the orbit where the orbital walls are the thinnest.

Left orbital floor blowout fracture.

Epidemiology the blowout fracture is t. An orbital blowout fracture is a fracture or break in the small bones that make up your eye. An example of a patient presenting with a right orbital floor blowout fracture. Orbital floor fractures may result when a blunt object which is of equal or greater diameter than the orbital aperture strikes the eye.

Orbital blowout fractures anatomy and mechanism of injury. There is a history of the orbital entrance being struck by an object usually one larger than the diameter of the orbital opening eg a ball an automobile dashboard or a fist. The floor of the eye socket ruptures or cracks resulting in a small hole in the eye socket s floor which can trap some parts of the eye muscles and its surrounding. The patient understood and wanted to proceed with exploration and reconstruction of left orbital floor blowout fracture with split calvarial bone graft.

Ct scan demonstrates common findings of a blow out fracture with evidence of a depressed right orbital floor bottom. Orbital blowout fracture or indirect orbital floor fracture. Clinically showed the patient with enophthalmos. This is a fracture of the paper thin floor of the eye socket with the bony rim surrounding the eye remaining intact.

This is typically caused by a direct blow to the central orbit from a fist or ball. A crack in the very thin bone that makes up these walls can pinch muscles and other structures around the eye keeping the eyeball from moving properly. The diagnosis of a blowout fracture of the orbital floor is suggested by the patient s history physical examination and radiographs. The floor is likely to collapse because the bones of the roof and lateral walls are robust.

The orbit or eye socket is the cavity of the skull that holds the eye. This injury is commonly the result of a fist baseball or tennis ball that strikes the eye. The patient did have some numbness in the left infraorbital nerve distribution. An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall typically resulting from impact of a blunt object larger than the orbital aperture or eye socket most commonly the inferior orbital wall i e.

Getting hit with a baseball or a fist often causes a blowout fracture. Orbital blowout fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact. Inferior blowout fractures involving the floor of the orbit maxillary sinus roof are the most common followed by medial wall blowout fractures. Bruising and limited eye movements secondary to swelling are common clinical presentations top.