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Orbital Blowout Fracture
Daniel E. Meltzer, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Orbital blowout fracture (OBF)
            • Definitions

              • Orbital floor or medial wall fracture resulting from impact of blunt object of diameter greater than orbital aperture
                • Pure: Without orbital rim fracture
                • Impure: With orbital rim fracture

            IMAGING

            • General Features

              • CT Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • Etiology

                      CLINICAL ISSUES

                      • Presentation

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                • Reporting Tips

                                  Selected References

                                  1. Layton CJ: Factors associated with significant ocular injury in conservatively treated orbital fractures. J Ophthalmol. 2014:412397, 2014
                                  2. Tomasetti P et al: Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture. J Surg Case Rep. 2013(3), 2013
                                  3. Gosau M et al: Retrospective analysis of orbital floor fractures-complications, outcome, and review of literature. Clin Oral Investig. Epub ahead of print, 2010
                                  4. Nagasao T et al: Interaction of hydraulic and buckling mechanisms in blowout fractures. Ann Plast Surg. Epub ahead of print, 2010
                                  5. Yano H et al: A consecutive case review of orbital blowout fractures and recommendations for comprehensive management. Plast Reconstr Surg. 124(2):602-11, 2009
                                  6. Criden MR et al: Linear nondisplaced orbital fractures with muscle entrapment. J AAPOS. 11(2):142-7, 2007
                                  7. Hinohira Y et al: Endoscopic endonasal reduction of blowout fractures of the orbital floor. Otolaryngol Head Neck Surg. 133(5):741-7, 2005
                                  8. Kwon JH et al: The differences of blowout fracture of the inferior orbital wall between children and adults. Arch Otolaryngol Head Neck Surg. 131(8):723-7, 2005
                                  9. Burnstine MA: Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol. 14(5):236-40, 2003
                                  10. Egbert JE et al: Pediatric orbital floor fracture: direct extraocular muscle involvement. Ophthalmology. 107(10):1875-9, 2000
                                  11. Jordan DR et al: Intervention within days for some orbital floor fractures: the white-eyed blowout. Ophthal Plast Reconstr Surg. 14(6):379-90, 1998
                                  12. Dalley RW et al: Globe tenting: a sign of increased orbital tension. AJNR Am J Neuroradiol. 10(1):181-6, 1989
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Orbital blowout fracture (OBF)
                                            • Definitions

                                              • Orbital floor or medial wall fracture resulting from impact of blunt object of diameter greater than orbital aperture
                                                • Pure: Without orbital rim fracture
                                                • Impure: With orbital rim fracture

                                            IMAGING

                                            • General Features

                                              • CT Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • Etiology

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Consider

                                                              • Image Interpretation Pearls

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Layton CJ: Factors associated with significant ocular injury in conservatively treated orbital fractures. J Ophthalmol. 2014:412397, 2014
                                                                  2. Tomasetti P et al: Emergency decompression of tension retrobulbar emphysema secondary to orbital floor fracture. J Surg Case Rep. 2013(3), 2013
                                                                  3. Gosau M et al: Retrospective analysis of orbital floor fractures-complications, outcome, and review of literature. Clin Oral Investig. Epub ahead of print, 2010
                                                                  4. Nagasao T et al: Interaction of hydraulic and buckling mechanisms in blowout fractures. Ann Plast Surg. Epub ahead of print, 2010
                                                                  5. Yano H et al: A consecutive case review of orbital blowout fractures and recommendations for comprehensive management. Plast Reconstr Surg. 124(2):602-11, 2009
                                                                  6. Criden MR et al: Linear nondisplaced orbital fractures with muscle entrapment. J AAPOS. 11(2):142-7, 2007
                                                                  7. Hinohira Y et al: Endoscopic endonasal reduction of blowout fractures of the orbital floor. Otolaryngol Head Neck Surg. 133(5):741-7, 2005
                                                                  8. Kwon JH et al: The differences of blowout fracture of the inferior orbital wall between children and adults. Arch Otolaryngol Head Neck Surg. 131(8):723-7, 2005
                                                                  9. Burnstine MA: Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol. 14(5):236-40, 2003
                                                                  10. Egbert JE et al: Pediatric orbital floor fracture: direct extraocular muscle involvement. Ophthalmology. 107(10):1875-9, 2000
                                                                  11. Jordan DR et al: Intervention within days for some orbital floor fractures: the white-eyed blowout. Ophthal Plast Reconstr Surg. 14(6):379-90, 1998
                                                                  12. Dalley RW et al: Globe tenting: a sign of increased orbital tension. AJNR Am J Neuroradiol. 10(1):181-6, 1989