A case of orbital floor fracture treated by emergency surgery Kazuko Yamaguchi 1 , Mika Noda 1 , Kouji Konno 2 , Tadashi Orihara 2 , Shinji Ideta 1,3 1Dept of Ophthalmol,Keio Univ Sch of Med 2Dept of Ophthalmol,Kyorin Univ Sch of Med 3Dept of Oculoplastic and Orbital Surg,Seirei Hamamatsu Hosp pp.1511-1514
Published Date 2005/9/15
DOI https://doi.org/10.11477/mf.1410100137
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Purpose:To describe a case of orbital floor fracture treated by emergency restoration surgery. Case and Findings:A 14-year-old boy suffered blunt trauma to the right orbit while involved in a fight. He had headache,vomiting,and severely restricted vertical movement of his right eye. Computed tomography the following day showed fracture of orbital floor. The inferior rectus muscle was absent. He was diagnosed with trapdoor-type orbital floor fracture. He received emergency surgery 27 hours after the incident. A fracture line was present along the infraorbital neural crest of the orbital floor. The inferior rectus muscle had prolapsed into the maxillary sinus. The incarcerated orbital soft tissue along with the inferior rectus was restored followed by suture of infured periost. Eye movement became normal after surgery. Conclusion:Emergency surgery is indicated when incarceration of extraocular muscles is present in orbital floor fracture in juvenile persons. Early surgical repair is essential in the recovery of ocular motility.

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