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Malar fractures associated with exophthalmos.
Archives of Otolaryngology (Chicago, Ill. : 1960)
|March 1, 1985
Summary
Malar bone fractures can cause eye displacement. This study reviews blow-in orbital floor fractures, explaining their symptoms and emphasizing early surgical repair for optimal outcomes in orbital fracture management.
Area of Science:
- Ophthalmology
- Maxillofacial Surgery
- Trauma Surgery
Background:
- Malar bone fractures commonly lead to orbital enlargement and enophthalmos (sunken eye).
- However, blow-in orbital floor fractures can paradoxically cause exophthalmos (protruding eye).
Observation:
- This review examines the causes and differential diagnosis of blow-in orbital floor fractures.
- It provides a pathophysiological explanation for the development of exophthalmos in these specific injuries.
Findings:
- Early recognition of blow-in orbital floor fractures is crucial.
- Surgical management involving open reduction and fixation of the malar bone, alongside orbital floor defect repair, is essential.
Implications:
- Prompt diagnosis and surgical intervention are key to successful management of malar bone fractures with orbital floor involvement.
- Understanding the mechanism of exophthalmos aids in accurate diagnosis and treatment planning for these complex facial trauma cases.