J Korean Assoc Maxillofac Plast Reconstr Surg.
2002 Jul;24(4):351-356.
Management Of Medial Orbital Wall Fracture
- Affiliations
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- 1Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, Korea. oralsurgery@hanmail.net
Abstract
- Orbital blowout fractures most often occur following blunt trauma to the periorbital region. Medial orbital wall fracture first occur at the weakest point of the orbital wall, lamina papyracea of the ethmoid. Medial orbital wall fractures are isolated or combined type with nasal bone,orbital floor, zygoma, ethmoid and frontal bones. Clinical features of the medial orbital wall fractures include periorbital edema and ecchymosis, subcutaneous emphysema, epistaxis, limitation of ocular motion, diplopia, and enophthalmos.Goals of treatment in medial orbital wall fracture are reduction of herniated orbital soft tissues and complete reconstruction of orbital wall. We have experienced patients with isolated medial orbital wall fracture and reconstructed medial orbital walls with Medpor and obtained good results.
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