Orbital Blowout Fracture

Orbital Blowout Fracture

An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall, typically resulting from impact of a blunt object larger than the orbital aperture, or eye socket.

Is orbital blowout fracture serious?

Eye injuries resulting from orbital blowout fracture

This is a very serious eye injury requiring hospitalization, bed rest, bilateral patching of the eyes, and sedation. This condition usually resolves itself within a few days.

How long does orbital blowout fracture take to heal?

Around 3 to 4 weeks after the injury, the formation of new mature bone starts. This can take a long time several years, in fact, depending on the size and site of the fracture. However, there are cases wherein bone healing is not successful, and these cause significant health problems.

Do you need surgery for orbital fracture?

If you have a mild fracture, you won’t need surgery. Even problems with your vision can fix themselves over time without surgical treatment. Indirect orbital fractures will only need surgery if another part of the eye has become trapped in the break or if more than 50% of the floor is broken.

Is orbital fracture an emergency?

Orbital fractures are a common, potentially vision-threatening presentation to an emergency department. Appropriate early management and referral by the emergency medicine practitioner has a significant role in preventing cosmetic and functional sequelae of orbital trauma.

Can a blowout fracture heal itself?

Timing of the repair varies, but most often is within a few weeks of the injury. Initial repair may consist of any of the following: exploration of fracture site and repositioning of bone. release of trapped tissue from fracture site.

How do they fix a broken orbital bone?

The repair of orbital fractures involves fracture site exposure, freeing tissue prolapsed into the fracture site, and reapproximating the orbital wall support, usually with an implant.

How painful is an orbital fracture?

Most patients with any form of facial fracture such as orbital will experience moderate to severe pain, which needs to be managed. This is due to a relatively high density of sensory pain fibers in the facial and orbital regions, thus making pain symptoms significant.

How serious is a broken eye socket?

An eye socket fracture, or orbital fracture, occurs when one or more bones surrounding the eye are broken. An orbital fracture usually occurs after some type of injury or a strike to the face. Depending on where the fracture is located, it can be associated with severe eye injury and eye damage.

Is a fractured eye socket serious?

Although eye socket fractures can be dangerous, most people recover well. If you went into the surgery with double vision, it may last as long as two to four months after surgery.

How is an orbital blowout fracture treated?

The patient can be treated with oral antibiotics on an empiric basis due to the disruption of the integrity of the orbit in communication with the maxillary sinus. A short course of oral prednisone reduces edema of the orbit and muscle, allowing for a better assessment of enophthalmos or entrapment.

What can I expect after an orbital fracture?

Most patients who do not require surgery will notice steady improvement in their symptoms. Double vision will continue to improve over several weeks. Numbness of the cheek or teeth can last 6-8 weeks on average as well. Pain is usually minimal after the bruising and swelling from the injury subside.

How much force does it take to break an eye socket?

Fractures were described, diagrammed, and photographed. Fracture of the orbital floor was consistently produced at and above a force of 2.08 J. Posterior ruptures of five eyes occurred over the same range.

How do I know if my orbital bone is broken?

What Are Orbital Fracture Symptoms?
  1. blurry, decreased or double vision.
  2. black and blue bruising around the eyes.
  3. swelling of the forehead or cheek.
  4. swollen skin under the eye.
  5. numbness in the injured side of the face.
  6. blood in the white part of the eye.
  7. difficulty moving the eye to look left, right, up or down.
  8. flattened cheek.

How does orbital fracture happen?

Orbital rim fracture These are caused by a direct impact to the face, most commonly by an automobile dashboard or steering wheel during a car crash. Because a great deal of force is required to cause these fractures, they often occur with extensive injuries to other facial bones, and sometimes injuries to the brain.

Which part of the orbit is the weakest?

The weakest portion of the orbit consists of the thin orbital floor (maxilla) and the lamina papyracea (ethmoid bone) medially and inferiorly.

Can I exercise with an orbital fracture?

Rest – Your doctor will instruct you to avoid any strenuous exercise, and will instruct you to not forcefully blow your nose after the fracture has been diagnosed. This is to prevent air from the sinuses around the eye from going under the skin and causing swelling and more discomfort.

Can eye pop out of socket?

Globe luxation is the medical term for when an eyeball protrudes or “pops” out of the eye socket. This rare condition can happen spontaneously or occur due to head or eye trauma. Some systemic health conditions, such as floppy eyelid syndrome and thyroid eye disease, can also increase the risk of globe luxation.

What type of surgeon fixes orbital fractures?

Periocular fractures are often managed first by the ophthalmologist. With good clinical examination and radiographic imaging, an informed decision can be made whether surgical intervention is required. For the isolated orbital fractures, the ophthalmologist is well equipped to diagnose and treat these injuries.

Which bone of the orbit is most likely to fracture with blunt orbital trauma?

The orbital floor, the maxillary bone, is the most common orbital fracture. These floor-fractures are quite common.

How long does numbness last after an orbital fracture?

Numbness of these areas frequently occurs with orbital floor fractures. This is not a visible finding, but it can be somewhat of a nuisance. This numbness (infraorbital nerve hypesthesia) frequently resolves over 4-6 months.

What are orbital fractures?

An orbital fracture occurs when one or more of the bones around the eyeball break, often caused by a hard blow to the face. To diagnose a fracture, ophthalmologists examine the eye and surrounding area. X-ray and computed tomography scans may also be taken.

Which bone does not help form the orbit?

All bones of the orbit articulate among themselves, except for the sphenoid bone and maxilla. There is no suture between them, as they are separated by the inferior orbital fissure.

How many bones make up orbit?

Seven bones conjoin to form the orbital structure, as shown in the image below. This image of the right orbit shows the 7 bones that contribute to its structure. The orbital process of the frontal bone and the lesser wing of the sphenoid form the orbital roof.

What bones make up the floor of the orbit?

The floor of the orbit consists of three bones: the maxillary bone, the palatine bone, and the orbital plate of the zygomatic bone. This part of the orbit is also the roof of the maxillary sinus.

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