Orbital Floor Fracture Nerve

27 acutely orbital floor fractures present with what symptoms.

Orbital floor fracture nerve. A crack in the very thin bone that makes up these walls can pinch muscles and other structures around the eye keeping the. Orbital blowout fractures are usually the result of a direct blow to the orbit which causes a sudden increase in intraorbital pressure. A retrospective study by bartoli et al 10 of 301 orbital floor fractures found the most common symptom to be hypesthesia extending through the region of the maxillary nerve 32 9 of patients. Blowout fractures of the orbit most frequently affect the middle third of the orbit where the orbital walls are the thinnest.

In patients with orbital floor fractures visual loss can result from globe trauma injury to the optic nerve or increased orbital pressure causing a compartment syndrome discussed in the section traumatic visual loss with clear media. What criteria should be used to establish the need for operative reduction. The blowout fracture is the most common type of orbital fracture and is usually the result of trauma. A blowout fracture is a break in the floor or inner wall of the orbit or eye socket.

Orbital fracture is a breakage in the bone in the eye socket which can involve the rim the floor or even both. Diplopia was also common being found in 20 2 of patients while enophthalmos and reduction of extraocular movement occurred in 2 3 and 1 7 of. Fractures to the inferior. The optic nerve exits the orbit through the optic foramen located at the superonasal portion of the orbit.

Orbital fractures generally present with numbness in the distribution of the infraorbital nerve double vision periorbital and subconjunctival hematoma and perhaps a visual acuity deficit. This is reflected in the demographics. Nearly all cases of visual loss following orbital floor fracture repair occur due to elevated pressure in the orbit causing a compartment syndrome either due to orbital hemorrhage or edema compressing the optic nerve. 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 most commonly the inferior orbital wall i e.

It is more prevalent in young men. The inferior wall or orbital floor is formed by the upper jawbone maxilla part of the cheek bone zygomatic and a small part of the hard palate palatine bone. An orbital hemorrhage should be suspected if loss of vision is associated with proptosis and increased iop. Inferior blowout fractures involving the floor of the orbit maxillary sinus roof are the most common followed by medial wall blowout fractures.

Treatment for orbital fracture comprises of surgery in severe cases and ice packs rest and antibiotics in mild fractures. If someone has an orbital rim fracture it is likely they have other injuries to the face and possibly the optic nerve.