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Updated: Jun 16, 2025

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Orbital floor fracture (blow out) and its repercussions on eye movement: a systematic review
Ilan Hudson Gomes de Santana1, Mayara Rebeca Martins Viana2, Julliana Cariry Palhano-Dias3
1Health Sciences Center, Federal University of Paraíba (UFPB), João Pessoa, Paraíba, Brazil. ilan.hudson@academico.ufpb.br.
Abstract:
The aim of this systematic review was to investigate the relationship between fractures of the floor of the orbit (blow outs) and their repercussions on eye movement, based on the available scientific literature. In order to obtain more reliable results, we opted for a methodology that could answer the guiding question of this research. To this end, a systematic review of the literature was carried out, using a rigorous methodological approach. The risk of bias was assessed using version 2 of the Cochrane tool for the risk of bias in randomized trials (RoB 2). This systematic review was carried out according to a systematic review protocol previously registered on the PROSPERO platform. The searches were carried out in the PubMed (National Library of Medicine), Scopus, ScienceDirect, SciELO, Web of Science, Cochrane Library and Embase databases, initially resulting in 553 studies. After removing duplicates, 515 articles remained, 7 were considered eligible, of which 3 were selected for detailed analysis. However, the results of the included studies did not provide conclusive evidence of a direct relationship between orbital floor fractures and eye movement.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

