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Types and Management of Orbital Fractures

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Emergencies of the Orbit and Adnexa

Abstract

Before treatment, clinicians must assess when and how the trauma occurred within the periorbital region. There are two possible mechanisms explaining orbital fractures, the hydraulic and the buckling theory. When the intraorbital pressure rises suddenly, the indented force causes a deformity in the orbital floor and wall, which leads to bone fracture. A fracture could also be caused by direct dislocation of the globe to the walls. As discussed in the previous chapter, age-related changes in bone hardness contribute to the dislocation of the fractured bone and orbital contents, which leads to subjective symptoms.

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References

  1. Warwar RE, Bullock JD, Ballal DR, Ballal RD. Mechanisms of orbital floor fractures: a clinical, experimental, and theoretical study. Ophthal Plast Reconstr Surg. 2000;16(3):188–200.

    Article  CAS  PubMed  Google Scholar 

  2. Erling BF, Iliff N, Robertson B, Manson PN. Footprints of the globe: a practical look at the mechanism of orbital blowout fractures, with a revisit to the work of Raymond Pfeiffer. Plast Reconstr Surg. 1999;103(4):1313–6. discussion 1317–1319.

    Article  CAS  PubMed  Google Scholar 

  3. Koornneef L. Orbital septa: anatomy and function. Ophthalmology. 1979;86(5):876–80.

    Article  CAS  PubMed  Google Scholar 

  4. Joseph JM, Rosenberg C, Zoumalan CI, Zoumalan RA, White WM, Lisman RD. Oculocardiac reflex associated with a large orbital floor fracture. Ophthal Plast Reconstr Surg. 2009;25(6):496–8.

    Article  PubMed  Google Scholar 

  5. Bansagi ZC, Meyer DR. Internal orbital fractures in the pediatric age group: characterization and management. Ophthalmology. 2000;107(5):829–36.

    Article  CAS  PubMed  Google Scholar 

  6. Gerbino G, Roccia F, Bianchi FA, Zavattero E. Surgical management of orbital trapdoor fracture in a pediatric population. J Oral Maxillofac Surg. 2010;68(6):1310–6.

    Article  PubMed  Google Scholar 

  7. Anda S, Elsas T, Harstad HK. The missing rectus: a CT observation from blow-out fracture of the orbital floor. J Comput Assist Tomogr. 1987;11(5):895–7.

    Article  CAS  PubMed  Google Scholar 

  8. Whitehouse RW, Batterbury M, Jackson A, Noble JL. Prediction of enophthalmos by computed tomography after ‘blow out’ orbital fracture. Br J Ophthalmol. 1994;78(8):618–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Kim JW, Goldberg RA, Shorr N. The inferomedial orbital strut: an anatomic and radiographic study. Ophthal Plast Reconstr Surg. 2002;18(5):355–64.

    Article  PubMed  Google Scholar 

  10. Hink EM, Wei LA, Durairaj VD. Clinical features and treatment of pediatric orbit fractures. Ophthal Plast Reconstr Surg. 2014;30:124–31.

    Article  PubMed  Google Scholar 

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Correspondence to Tomoyuki Kashima MD, PhD .

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Kashima, T. (2017). Types and Management of Orbital Fractures. In: Mukherjee, B., Yuen, H. (eds) Emergencies of the Orbit and Adnexa. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1807-4_14

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  • DOI: https://doi.org/10.1007/978-81-322-1807-4_14

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-1806-7

  • Online ISBN: 978-81-322-1807-4

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