Orbital Fractures

Parameswaran, Anantanarayanan; Marimuthu, Madhulaxmi; Panwar, Shreya; Hammer, Beat

doi:10.1007/978-981-15-1346-6_57

Cited by 11 publications

(10 citation statements)

References 64 publications

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“…Repair of orbital fractures is also performed to prevent long term enophthalmos, hypoglobus, or diplopia. 1 Indications to repair orbital fractures are not firmly defined and vary by source and surgeon preference. However, they are typically based upon defect size as increased orbital volume predisposes to the long-term complications.…”

Section: Discussionmentioning

confidence: 99%

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Large Medial Orbital Wall Fracture in the Setting of Prior Functional Endoscopic Sinus Surgery

Ovadia

Harshbarger

2023

FACE

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Functional endoscopic sinus surgery (FESS) is performed as a treatment for refractory sinusitis. Ethmoidectomy is a component of FESS. In performing ethmoidectomy, the septa that are believed to buttress the medial orbital wall are removed. The impact of endoscopic sinus surgery upon orbital biomechanics have been studied in a cadaver model. These studies have demonstrated increased likelihood of medial orbital wall fracture in a cadaver model. In this report, the authors present the case of a patient who sustained facial trauma with a history of prior FESS. She developed a large medial orbital wall fracture and nondisplaced floor fracture. Reconstruction was successfully performed with an alloplastic implant. Despite increasing numbers of FESS operations performed, there is limited evidence in the literature regarding orbital fracture in patients with a history of FESS. This case provides support for the findings of the recent cadaver studies.

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Section: Discussionmentioning

confidence: 99%

“…The alternative theory is the buckling theory which posits that an initial force against the infraorbital rim is transmitted through the orbit until reaching the thinner bones resulting in fracture. 1,2 Some believe the actual biomechanical pathophysiology resulting in orbital fracture is a combination of these 2 processes. 3,4…”

Section: Introductionmentioning

confidence: 99%

Large Medial Orbital Wall Fracture in the Setting of Prior Functional Endoscopic Sinus Surgery

Ovadia

Harshbarger

2023

FACE

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“…Unsightly morphological changes may occur in various circumstances being either post-traumatic (consequences of hitting, bodily injury, acts committed intentionally or through fault) or they can be acquired post-surgically [ 6 , 7 , 8 ]. Visible scars, especially those located on the face, have aesthetic and psychological consequences, such as increased anxiety and low self-esteem.…”

Section: Introductionmentioning

confidence: 99%

Predictors for Estimating Scars’ Internalization in Victims with Post-Traumatic Scars versus Patients with Postsurgical Scars

et al. 2022

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(1) Background: Scars are the consequence of physiological inherent healing processes of post-traumatic and surgical lesions with a psychological impact. Post-traumatic scarring may induce emotional and behavioral changes through social stigma. In this study we analyze the internalization of scars and their impact on hopelessness, depression, or the perception of social support in subjects with post-traumatic scars compared to people with surgical scars. (2) Methods: to research this suggested model, we analyzed data collected from 110 participants 61 women and 49 men, aged between 18 and 64 years; 55 participants had post-traumatically and 55 surgically acquired scars. They all were examined to assess the characteristics of scars, were asked to complete four psycho-social scales, and the results were compared. (3) Results: our results indicate that people with post-traumatic scars are oriented toward the internalization of scars, depending on their shape and size. We argue that hopelessness, appreciation of scars, age, and how scars are produced are important predictors of internalization. (4) Conclusions: the patient’s attitude toward the appearance of a scar is an indicator of how he/she will react in the future and it could predict the vulnerability to hopelessness. Finally, we nuance the impact of objective bodily harm on the psychological and moral suffering.

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“…Among orbital traumas, orbital floor fracture is a frequently encountered injury 1 . Orbital tissue herniation through a fractured orbital floor into the maxillary sinus occurs frequently and causes diplopia 1 .…”

mentioning

confidence: 99%

Orbital Fat Herniation Through Inferior Orbital Fissure and Persistent Diplopia Caused by Facial Trauma

Kitai,

Fujisawa,

Ueno

2024

Journal of Craniofacial Surgery

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Orbital fat herniation is often accompanied by orbital floor fractures. Furthermore, herniation through the inferior orbital fissure (IOF) is rare, and its pathophysiology remains largely unknown. Here, the authors report a case of a patient with IOF herniation and diplopia caused by orbital trauma. The patient was a 58-year-old male who had undergone reduction of a left zygomatic fracture 15 years previously; however, reduction of the lateral orbital wall displacement was not performed at that time. The patient presented with refractory diplopia following a sports-related orbital injury. Although no new facial fractures occurred, an asymmetric IOF herniation was observed in the left orbital fissure, which caused persistent diplopia. Surgical repair of the orbital fat herniation was performed 46 days after injury. Two months after the surgery, the herniation of the orbital fat and diplopia completely disappeared. Surgery for an IOF herniation should be considered when ocular symptoms persist after orbital trauma.

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Orbital Fractures

Cited by 11 publications

References 64 publications

Large Medial Orbital Wall Fracture in the Setting of Prior Functional Endoscopic Sinus Surgery

Large Medial Orbital Wall Fracture in the Setting of Prior Functional Endoscopic Sinus Surgery

Predictors for Estimating Scars’ Internalization in Victims with Post-Traumatic Scars versus Patients with Postsurgical Scars

Orbital Fat Herniation Through Inferior Orbital Fissure and Persistent Diplopia Caused by Facial Trauma

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