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Blowout Fractures of the Orbit

  • David R. Jordan
  • Louise Mawn
Chapter

Abstract

An orbital floor fracture or “blowout fracture” is most often associated with midfacial trauma ranging from mild, and almost insignificant, to severe, and debilitating. When called upon to assess the patient with a blowout fracture, the first step in treatment is to take a careful history and ask about the mechanism of injury. It is useful to know the size of the object, the force, and velocity at which the object approached the eye, as well as any other associated head or body injuries. With an accelerating object such as a bungee cord or hockey puck, there is often much more globe trauma than a fist or a soccer ball. Although it is essential in all traumas that a complete ophthalmic examination be performed to detect direct and indirect injury to the eyelids, globe, optic nerve, and surrounding periocular structures, knowing the mechanism of injury gives you an idea of how serious the associated injuries may be.

Keywords

Maxillary Sinus Soft Tissue Injury Orbital Floor Inferior Rectus Floor Fracture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.University of Ottawa Eye InstituteOttawaCanada
  2. 2.Vanderbilt University Medical CenterNashvilleUSA

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