Journal of the Japanese Society of Oral and Maxillofacial Traumatology
Online ISSN : 2434-3366
Print ISSN : 1347-9903
A Review of 24 Cases of Medial Orbital Wall Fracture
Ryuhei YAMADAOsamu ISHIHARADaiki HIRAIRyoga UTSUNOMIYARyosuke KAWAMURARyo OTANIHaruka AKIYAMAMasaaki OSAKA
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2025 Volume 24 Issue 1 Pages 27-34

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Abstract
We report a retrospective review of 24 cases of medial orbital wall fracture. The subjects were 24 cases of medial orbital wall fracture between April 2024 and April 2016. The ages ranged from 16 to 91 years (mean age 52.1±22.5 years), with 20 males and 4 females. All but one patient was referred from the emergency department of our hospital. The cause of injury was a punch in the face in 7 cases, followed by traffic injuries in 6 cases and fall injuries in 5 cases. The average waiting period from initial consultation to surgery was 8.4±5.4 days. Fifteen cases included concomitant injuries. Regarding the fracture site, 8 cases had a medial orbital wall fracture alone, and the rest had concomitant fractures in other areas. Regarding treatment for the medial orbital wall, conservative follow-up was performed in 11 cases, and treatment was performed in 13 cases (open reduction in 8 cases, open reduction+endoscopic surgery in 2 cases, and endoscopic surgery alone in 3 cases).
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© 2025 Japanese Society of Oral and Maxillofacial Traumatology
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