Blow-out fractures, lateral fractures of the face, involve only the inferior and sometimes the medial wall of the orbit. Clinical diagnosis is not always obvious, and CT is helpful to confirm diagnosis and also detect some failures of surgical treatment: improper position or size of the graft. MRI is valuable to evaluate post-surgical infections.
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Ocular Injuries in Patients with Old Blow-out Fractures Following Blunt Trauma.
Korean J Ophthalmol
January 2025
Department of Ophthalmology, Gil Medical Center, Incheon, Gachon University College of Medicine, Incheon, Korea.
Purpose: To analyze the frequency, and clinical characteristics of ocular injuries in patients with prior blow-out fractures who experience new blunt trauma, and to assess whether old orbital fractures provide a protective effect against subsequent ocular trauma.
Methods: The medical records of 1,315 ocular trauma patients were reviewed. A total of 927 patients who had orbital or facial CT scans and ophthalmologist evaluations were considered.
Radiological Insights of a Complex Orbital Blow-Out Fracture.
Cureus
November 2024
Radiology, NHS, Essex, GBR.
CT is the gold standard for evaluating orbital trauma, providing rapid and detailed imaging of bony structures, soft tissue, and the globe. This is crucial in assessing orbital trauma due to its potential to cause significant impairment of ocular function. This case report presents a 35-year-old male who was admitted to the emergency department with a complicated left orbital blow-out fracture following blunt facial trauma.
View Article and Find Full Text PDFOrbital Floor Fractures: Treatment and Diagnostics - A Survey Among Swiss, German and Austrian Maxillofacial Units.
Craniomaxillofac Trauma Reconstr
April 2024
Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Basel, Switzerland.
Study Design: N/A.
Objective: This study investigated the different ways of orbital floor reconstruction with special focus on reconstruction materials, imaging modalities (intra-/ post-operative), 3D printing and navigation.
Methods: The heads of all governmental-run or associated cranio-maxillofacial surgery units in Switzerland, Austria and Germany were asked in person or received an email link for an online survey with 12 questions.
Intraoperative navigation in craniofacial surgery.
Arch Craniofac Surg
October 2024
Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Korea.
Craniofacial surgery requires comprehensive anatomical knowledge of the head and neck to ensure patient safety and surgical precision. Over recent decades, there have been significant advancements in imaging techniques and the development of real-time surgical navigation systems. Intraoperative navigation technology aligns surgical instruments with imaging-derived information on patient anatomy, enabling surgeons to closely follow preoperative plans.
View Article and Find Full Text PDFEfficacy of Nasal Septal Complex in the Endoscopic Reconstruction of Medial Orbital Wall.
J Craniofac Surg
September 2024
Department of Otolaryngology, The South District of The Third Affiliated Hospital of Anhui Medical University, Anhui, China.
Article Synopsis
- * Ten patients underwent surgery, with the nasal septal complex, which includes nasal septal cartilage and the perpendicular plate of the ethmoid, successfully repairing their fractures and leading to improvements in symptoms like double vision.
- * Results showed satisfactory outcomes, with no severe complications, and postoperative imaging confirmed the structural integrity of the repair, maintaining the original shape of the orbit while preventing issues like muscle incarceration.
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