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An orbital blowout fracture is a traumatic deformity of the orbital floor or medial wall that typically results from the impact of a blunt object larger than the orbital aperture, or eye socket. [1] Most commonly this results in a herniation of orbital contents through the orbital fractures. [ 1 ]
When zygoma fractures occur, the most typical symptoms are paresthesias in the upper lip, nose, cheek, and lower eyelid, diplopia, and pain.Particular physical characteristics that support zygomatic fracture include globe injury, impaired ocular motility, globe malposition, orbital emphysema, trismus, palpable stepoffs at the inferior or upper lateral edge of the orbit, reduced feeling ...
Fractures with displacement require surgery consisting of fracture reduction with miniplates, microplates and screws. Gillie's approach is used for depressed zygomatic fractures. [5] The prognosis of tripod fractures is generally good. In some cases there may be persistent post-surgical facial asymmetry, which can require further treatment. [6]
For example, fractures of the orbital floor or medial orbital wall of the eye can entrap the medial rectus or inferior rectus muscles. [29] In facial wounds, tear ducts and nerves of the face may be damaged. [3] Fractures of the frontal bone can interfere with the drainage of the frontal sinus and can cause sinusitis. [30]
Symptoms of an open-globe injury include eye pain, foreign body sensation, eye redness, and blurry or double vision. [9] While globe injuries are commonly associated with peri-ocular trauma that may obstruct diagnosis, [4] several signs suggest open-globe damage: Visible corneal or scleral laceration; Sub-conjunctival hemorrhage; Protruding ...
The Le Fort III fracture (transverse fracture) occurs at the level of the skull base, resulting in complete craniofacial separation of the midface from the base of the skull. [ 2 ] [ 3 ] The fracture line extends through the zygomatic arch , the pterygoid plates , the lateral and medial orbital walls , the nasal bones , and the nasal septum .
A skull fracture is a break in one or more of the eight bones that form the cranial portion of the skull, usually occurring as a result of blunt force trauma.If the force of the impact is excessive, the bone may fracture at or near the site of the impact and cause damage to the underlying structures within the skull such as the membranes, blood vessels, and brain.
In lay terms, blood from skull fracture seeps into the soft tissue around the eyes. Raccoon eyes may be accompanied by Battle's sign, an ecchymosis behind the ear. These signs may be the only sign of a skull fracture, as it may not show on an X-ray. They normally appear between 48 and 72 hours (2-3 days) after the injury. [3]