2017 Volume 60 Issue 2 Pages 69-75
It has long been known that emergency surgery is often necessary in cases of blowout fractures of the orbit. A fractured piece of bone often becomes a trapdoor, incarcerating and deviating the contents of the orbit. While imaging findings may reveal only slight deviation, the symptoms are often severe. Although very rare, this clinical condition is most often known to involve he inferior wall of the orbit in young people, in our patient reported herein, it involved the medial wall of the orbit.
We diagnosed and treated 100 cases of blowout fractures of the orbit in our department between April 2000 and October 2016. The fracture involved the medial wall of the orbit in 17 cases, and in 2 of these, it was the linear type. Emergency surgery was performed in 1 of these 2 cases, and elective surgery in the other. The eye movements of the patients improved, and they don't recognize diplopia.
In cases of fracture of the medial wall of the orbit, early recognition of the need for emergency surgery is of importance.
