耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
眼窩上壁 Blow-in Fracture の整復例
山村 一彦武田 広誠
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2005 年 98 巻 1 号 p. 47-50

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Blow-in fracture is a rare injury resulting from orbital trauma. Fragments of the orbital bone may increase orbital pressure, causing direct or indirect damage to the globe. Here, we report a case of impure type blow-in fracture of the orbital roof. A 28-year-old male presented with diplopia and frontal paresthesia caused by trauma. Coronal CT scan showed fracture of the orbital roof. We reduced the fracture via a frontal approach and achieved fixation with autologous septonasal mucosa to maintain mucociliary function of the frontal sinus. At 12 months' follow-up, he remains free of ophthalmologic symptoms and there is no clinical evidence of frontal disease.

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