"In general there are two types of fractures that involve the orbital bone that contains the eye, a rim fracture and a
blowout fracture," DeLuca said. "The potential complications are eye related.
Although an uncommon clinical finding, the OCR-associated orbital
blowout fracture could lead to debilitating complications leading to bradycardia and even asystole.
There was a
blowout fracture of the anterior lamina papyracea with extrusion of fat but no extraocular muscle entrapment.
*** "
Blowout fracture" of the ethmoid bone in the orbit
Orbital cellulitis: A rare complication after orbital
blowout fracture. Ophthalmology 2005; 112(11):2030-4.
Pathological presence of the air in soft tissues of the orbit (orbital emphysema, pneumoorbita), eyelids, or the face is commonly caused by different types of bone fractures including
blowout fracture [7-10].
Recently however studies have demonstrated minimally invasive techniques to manage
blowout fracture. Yoshida T et al mentioned one such study.
Progressive infraorbital nerve hypesthesia as a primary indication for
blowout fracture repair.
Subjects were assessed at time of injury for the need for emergency surgery, and those initially treated conservatively were subsequently followed up by the Ophthalmology Department to assess for ocular injury requiring ophthalmic management at 1-7 days after injury Associations between ocular injury and age, sex, visual acuity, presence of
blowout fracture, extent of orbital involvement, and presence of distant facial fractures were assessed.
MRI-showed
blowout fracture of floor of right orbit with Minimally enhancing lesion in the region of lacrimal gland and a clinical diagnosis of foreign body granuloma or pseudotumor or chronic hematoma was made.
The occurrence of an orbital
blowout fracture caused by nose blowingis an unusual phenomenon.
Moreover, in cases of early repair of an orbital
blowout fracture, enophthalmos may be masked by the swelling from the initial injury.
