Document Detail

Current treatment of blow-out fractures.
MedLine Citation:
PMID:  7099565     Owner:  NLM     Status:  MEDLINE    
Blow-out fracture repair and its timing have been controversial. Originally all x-ray proven fractures were repaired regardless of size or symptoms. Later a controversial report of a large series of cases indicated repair to be unnecessary. Today, x-ray proven fractures with enophthalmos justify surgery, but double vision alone is insufficient. Observation of improving diplopia for several days is suggested. Evaluation of x-rays, enophthalmos, diplopia with restriction, and facial anesthesia are recommended before surgery. Recognition of diagnostic signs and symptoms, as well as potential severe cosmetic and functional complications, have aided the approach to the decision for or against fracture repair.
R B Wilkins; W E Havins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmology     Volume:  89     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1982 May 
Date Detail:
Created Date:  1982-09-24     Completed Date:  1982-09-24     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  464-6     Citation Subset:  IM    
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MeSH Terms
Diplopia / complications
Eyelid Diseases / complications
Facial Bones / injuries*
Fractures, Bone / surgery*
Fractures, Closed / complications,  surgery*,  therapy
Oculomotor Muscles / surgery
Orbit / injuries*
Orbital Diseases / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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