Management of isolated orbital floor blow‐out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons

Lynham, Anthony; Chapman, P. J.; Monsour, F.N.T.; Snape, Leslie; Courtney, D.J.; Heggie, Andrew A; Jones, R. Clark; McKellar, Geoffrey

doi:10.1046/j.1442-9071.2004.00755.x

Cited by 30 publications

(34 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous studies have been performed on orbital fractures so far [1,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17]. However, much of the literature is either out of date or based on small groups of patients.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the majority of these studies have been presented by other specialties, such as maxillofacial surgeons, otolaryngologists and facial plastic surgeons. Although the basic understandings are common, different treatment paradigms and a wide variation in clinical assessment exist in each specialty, leading to marked inconsistency of care [14]. …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Analysis of 733 Surgically Treated Blowout Fractures

Jung

Shin

et al. 2009

Ophthalmologica

View full text Add to dashboard Cite

Purpose: To evaluate current patient demographics and surgical outcomes from a large series of 733 surgically treated orbital fractures from an ophthalmologist’s perspective. Methods: We reviewed the medical records of 733 patients with orbital fracture, who were treated surgically by one of the authors at Gil Hospital, Gachon University, from May 2000 until September 2007. Data regarding patient demographics, signs and symptoms at presentation, cause of injury, nature of fracture, associated ocular and nonocular injury, surgical outcome and complications were collected. Results: Male patients outnumbered female patients, and blowout fracture occurred most frequently between the ages of 20 and 29 years (mean age 30.7 years). Violent assault was the leading cause of the fractures, followed by fall/slip and traffic accidents. Common signs and symptoms were periorbital ecchymosis, ocular motility restriction, diplopia and enophthalmos. In the pediatric group, diplopia and ocular motility restriction were the most common. Subconjunctival hemorrhage, hyphema and commotio retinae were the most commonly associated ocular injuries. As for the location of fractures, medial wall fractures were the most common, followed by fractures of the inferior wall, and both medial and inferior walls, in order. The most common type of fracture was the ‘comminuted’ one. In the pediatric group, the percentage of trapdoor-type fracture was higher than in the adult group. Forty-four percent of the patients had diplopia preoperatively and 8.7% postoperatively. The average measurement of difference in the enophthalmos (≧2 mm) patient population was improved from 2.62 (±SD 0.9) to 1.73 (±SD 1.3) after surgery. Ocular motility restriction was preoperatively noted in 297 patients (40.5%), and only 18 patients (2.5%) showed restriction after surgery. Conclusion: Young male individuals are at the highest risk for orbital fractures. There are marked differences in the clinical symptomatology and findings between pediatric and adult orbital fractures. Diplopia, enophthalmos and ocular motility restriction improved by repair of fracture.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Analysis of 733 Surgically Treated Blowout Fractures

Jung

Shin

et al. 2009

Ophthalmologica

View full text Add to dashboard Cite

show abstract

“…Maxillofacial, ENT and plastic surgeons sometimes encounter clinical cases where orbital floors are destroyed by fractures (Bartkowski and Krzystkowa, 1982;Hayasaka et al, 1994;Schubert et al, 2002;Hughes et al, 2003;Kosaka et al, 2004;Lynham et al, 2004;Yavuzer et al, 2004;Buchel et al, 2005;Eppley, 2005) or are removed in advanced tumours (Cordeiro et al, 1998;Lee et al, 1999;Holmes and Hutchinson, 2001;Parmar et al, 2001). For these, the defects of the orbital floor have to be repaired to match its original shape as closely as possible.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the orbital floor morphology

Nagasao

Hikosaka

Morotomi

et al. 2007

Journal of Cranio-Maxillofacial Surgery

View full text Add to dashboard Cite

“…4,[17][18][19]25,30 Surgery is indicated if the eye is recessed more than 2 mm in the socket, extraocular muscles are restricted, or double vision persists. 4,30,40 Surgical techniques include reconstructing the orbital wall with plastics, limestone, autologous bone, titanium mesh, or resorbable membrane.…”

Section: Surgical Indicationsmentioning

confidence: 99%

“…4,30,40 Surgical techniques include reconstructing the orbital wall with plastics, limestone, autologous bone, titanium mesh, or resorbable membrane. 8,18,26 …”

Section: Surgical Indicationsmentioning

confidence: 99%

Recognition and Management of an Orbital Blowout Fracture in an Amateur Boxer

Karsteter¹,

Yunker²

2006

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

Study Design: Case report. Objectives: To identify key elements in the recognition and management of a patient with an orbital blowout fracture and make recommendations on diagnosis, treatment, referral, imaging, and return to sports. Background: Orbital blowout fractures are uncommon but important injuries for physical therapists to recognize. Immediate management is essential in preventing complications. The mechanism of injury is a direct blow to the orbital rim or orbit. Case Description: The patient reported to the athletic training room 15 minutes after completing a boxing match and reported that his left eye had suddenly inflated after blowing his nose. We suspected an orbital blowout fracture and referred him immediately to the emergency department where conventional radiographs were ordered. On follow-up the next day, after determining that the radiographs were normal, but still having a high index of suspicion for an orbital blowout fracture, we referred him to his primary care manager. The primary care manager ordered a computed tomography scan that revealed the fracture and referred the patient to ophthalmology. Outcomes: The patient was restricted from the remaining 4 weeks of the boxing season. He completed a rigorous Army physical fitness test 7 days postinjury and the Marine Corps Marathon 47 days postinjury. Discussion: Orbital blowout fractures without double vision, extraocular muscle entrapment, or persistent numbness can be treated with time and protection. The patient can continue with normal fitness activities except contact or collision sports.

show abstract

Management of isolated orbital floor blow‐out fractures: a survey of Australian and New Zealand oral and maxillofacial surgeons

Abstract: As in Britain, management of isolated orbital floor blow-out fractures comprises part of the surgical spectrum for many oral and maxillofacial surgeons in Australia and New Zealand. The management protocol was observed to be very similar between the two groups.

Cited by 30 publications

References 18 publications

An Analysis of 733 Surgically Treated Blowout Fractures

An Analysis of 733 Surgically Treated Blowout Fractures

Analysis of the orbital floor morphology

Recognition and Management of an Orbital Blowout Fracture in an Amateur Boxer

Contact Info

Product

Resources

About