Isolated trapdoor-type medial blowout fracture in an adult presenting horizontal diplopia treated by endoscopic endonasal approach.
| Autor: | Noh WJ; Department of Otolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea., Park TJ; Department of Otolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea., Kim JY; Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea., Kwon JH; Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea entkwon@hanmail.net. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of surgical case reports [J Surg Case Rep] 2013 Mar 05; Vol. 2013 (3). Date of Electronic Publication: 2013 Mar 05. |
| DOI: | 10.1093/jscr/rjt009 |
| Abstrakt: | Orbital blowout fracture frequently occurs along the floor or medial aspect of the orbital wall, which are the two thinnest areas of the bony orbit. True trapdoor injury of the orbit is less common and is rare as an isolated medial wall injury, because the medial orbital wall has several bony septa within the ethmoid sinus that provide support and decrease the risk of a trapdoor fracture. Additionally, the incidence of trapdoor-type blowout fracture in adults is lower than in children. In a trapdoor-type blowout fracture with restricted ocular movement, prompt diagnosis and early intervention are associated with better clinical outcomes. We encountered a case of trap door-type medial blowout fracture with horizontal eye ball movement limitation in an adult. She underwent endonasal endoscopic reduction surgery for the medial blowout fractures. Here we report this case, and suggest early diagnosis and prompt surgical exploration. (Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013.) |
| Databáze: | MEDLINE |
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