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The proximity of maxillary and ethmoidal sinus increases the susceptibility of the floor and medial wall for the orbital blowout fracture in these anatomical sites. [2] Most commonly, the inferior orbital wall, or the floor, is likely to collapse, because the bones of the roof and lateral walls are robust. [2]
The orbital surface presents medially by trochlear fovea and laterally by lacrimal fossa. [8] The floor (inferior wall) is formed by the orbital surface of maxilla, the orbital surface of zygomatic bone and the minute orbital process of palatine bone. Medially, near the orbital margin, is located the groove for nasolacrimal duct. Near the ...
Nerves and muscles may be trapped by broken bones; in these cases the bones need to be put back into their proper places quickly. [4] 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]
The inferior orbital fissure is a gap between the greater wing of sphenoid bone, and the maxilla. It connects the orbit (anteriorly) with the infratemporal fossa and pterygopalatine fossa (posteriorly).
Blowout fracture of the orbit is caused by blunt trauma, classically described for fist or ball injury, leading to fracture of the floor or medial wall of the orbit due to sudden increased pressure on the orbital contents. Muscular Entrapment Fracture of the orbital bones can lead to muscular entrapment limiting gaze in one direction.
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