Document Detail

A retrospective study of untreated orbital blow-out fractures.
MedLine Citation:
PMID:  3193279     Owner:  NLM     Status:  MEDLINE    
A retrospective study of 27 cases of untreated orbital blow-out fractures is presented. These patients were managed non-surgically because they presented with minimal ophthalmologic symptoms, or they sustained other injuries that prevented early repair. Twelve patients returned for follow-up examination and eight were contacted by telephone. In evaluating patients for diplopia, enophthalmos, hypesthesia, and restricted ocular movement, 85% showed complete resolution of symptoms. Based on these findings, surgical intervention is recommended only in those patients who demonstrate residual diplopia in primary gaze and restricted ocular motility that persist after 10 to 14 days, the presence of enophthalmos greater than 2 mm, and gross disruption of the orbital floor as confirmed by CT or tomography.
G A Catone; M P Morrissette; E R Carlson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  46     ISSN:  0278-2391     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  1988 Dec 
Date Detail:
Created Date:  1989-01-12     Completed Date:  1989-01-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1033-8     Citation Subset:  AIM; D; IM    
Division of Oral and Maxillofacial Surgery, Allegheny General Hospital, Pittsburgh, PA 15212.
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MeSH Terms
Aged, 80 and over
Diplopia / etiology
Eye Diseases / etiology
Follow-Up Studies
Hypesthesia / etiology
Middle Aged
Orbit / innervation
Orbital Fractures / complications,  therapy*
Retrospective Studies
Skull Fractures / therapy*

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

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