$orbital blowout fracture$

Other functional impairment is generally benign and will That a surgical indication upon functional impairment is limited to muscle motility restrictionĭue to entrapment or impingement. In summary, when deciding whether to operate or not on a BOF, it is important to recognize Patients with BOF benefit from surgical vs non-surgical treatment. In this project, we have provided an algorithm based on available evidence to predict which Therefore, BOF patients require a close follow-up of, as a suggestion 1 and 3 months post-injury. Outcome as early corrections, if the surgical correction is performed immediately after the aesthetic deformities are discovered. Late enophthalmus had double vision and none of patients with double vision had enophthalmus.įurthermore, we found that delayed correction of BOF appears to have the same aesthetic On the contrary, none of the patients with The statement that, sunken eye (enophthalmus) will lead toĭouble vision could not be supported by our data. We also found that double vision in BOF, without eye motility limitation, is due to edema and Inferomedial fracture with a herniation ≥ 0.9 ml.The posterior edge of the fracture ≥ 3.0 cm. Isolated inferior wall fracture with a herniation ≥ 1.0 ml and a fracture distance from inferior orbital rim to.

$orbital blowout fracture$

Isolated inferior wall fracture with a herniation Patients with the following findings have a substantial risk for the development of cosmeticĭeformities and surgical treatment needs to be considered: Patients who did not develop any cosmetic problems.

$orbital blowout fracture$

To aesthetic outcome, namely patients who developed cosmetic problems compared to those We found a significant correlation between CT scan findings on presentation In paper IV-V we performed prospective cohort and controlled randomized studies on patients The surgical reduction of all impinged or entrapped tissue is at least as important as surgical If the diplopia and eye motility is not improved over time. Restriction caused by impingement is not an ophthalmologic emergency and surgery is recommended Furthermore, we found that double vision due to eye motility In paper III we found that in the case of entrapment with restriction of eye motility, there isĪ need for surgical treatment performed by an experienced surgeon as soon as possible, but With BOF, there are considerable differences in opinion between the surgeons, specialties andĬountries, despite existing recommendations. Regarding the management of the remaining patients In Paper II we concluded that there is a clear agreement that surgery within 24h is needed If a patient needs surgical or non-surgical treatment. In paper I we found that the amount of displaced orbital tissue (herniation) and the relativeĬhange in the orbital volume due to trauma may be insufficient predictors to use when differentiating The overall aim of this thesis has been to identify which patients with BOF need an operationĪnd which do not require an operation to prevent functional and aesthetic disorders. Of several studies over the past few decades. To differentiate which patients need to be operated on or which do not. Furthermore, small BOF are not considered to needĪny surgical treatment and will heal without any remaining symptoms. That a significant BOF needs surgical treatment otherwise it may lead to double vision andĪesthetic deformities such as sunken eye. Such a fracture is called Blow Out Fracture (BOF).

$orbital blowout fracture$

When the eye socket is exposed to severe blunt trauma the pressure in the socket increases.Īs a protection mechanism to prevent the eye from disruption, the thin bony walls surrounding

$orbital blowout fracture$

Orbital blowout fracture