Management of Extensive Blowout Fracture of Combined Orbital Floor and Medial Wall: A Challenge in Reconstruction

Abstract

Orbital blowout fractures are common sequelae of blunt trauma to periocular region. Combined orbital floor and medial wall fractures are more complicated than either alone, because there may not be adequate peripheral bony support for standard implants. The transition zone between orbital floor and medial wall is difficult to visualize intraoperatively and makes even more difficult to visualize in dissection further posteriorly. In our case, patient sustained orbital blowout fracture with herniation of periorbital tissue in maxillary sinus as well as ethmoidal sinus. After undergoing successful orbital reconstruction surgery, eyeball was repositioned to its original position. There was no enophthalmos and patient had no restriction in eye movement and perception to light was similar in both the eyes. Pupillary reflex to light was brisk and similar in both the eyes.