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Medial Orbital Wall Fracture With Rectus Entrapment

Medial Orbital Wall Fracture With Rectus Entrapment Abstract Two cases of medial orbital fracture with medial rectus muscle entrapment are reported, one a bona fide blowout fracture. Review of the literature reveals six previous cases. Clinically, patients complain of diplopia with lateral gaze and forced duction tests confirm medial rectus entrapment. Radiographic confirmation is best obtained with hypocycloidal tomography. Surgical therapy is indicated for diplopia or enophthalmus. References 1. Converse JM, Smith B: Naso-orbital fractures . Trans Am Acad Ophthalmol Otolaryngol 67:622, 1963. 2. Jones IE: X-ray findings . Trans Am Acad Ophthalmol Otolaryngol 67:635, 1963. 3. Dodick JM, et al: Concomitant medial wall fracture and blow out fracture of the orbit . Arch Ophthalmol 85:273, 1971.Crossref 4. Miller GR, Glaser JS: The retraction syndrome and trauma . Arch Ophthalmol 76:662, 1966.Crossref 5. Edwards WC, Ridley RW: Blow-out fracture of medial orbital wall . Am J Ophthalmol 65:248, 1968. 6. Rumelt MB, Ernest JT: Isolated blowout fractures of the medial orbital wall with medial rectus muscle entrapment . Am J Ophthalmol 73:451, 1972. 7. Tokel SL, Potter GD: Radiographic diagnosis of fracture of the medial wall of the orbit . Am J Ophthalmol 67:772, 1969. 8. Fischbein FI, Leski WS: Blow out fracture of the medial wall of the orbit . Am J Ophthalmol 81:162, 1969. 9. Magnus WW, et al: A conjunctival approach to repair of fracture of medial wall of orbit: Report of a case . J Oral Surg 29:664, 1971. 10. Hoyt WF, Nachtigaller H: Anomalies of ocular motor nerves . Am J Ophthalmol 60:443, 1965. 11. Dodick JM, Galin MA, Berrett A: Radiographic evaluation of orbital blow out fracture . Can J Ophthalmol 4:370, 1969. 12. Haverling M: Diagnosis of blowout fracture of the orbit by tomography . Acta Radiol [Diagn] (Stock) 12:347, 1972. 13. Mustarde JC, Jones LT, Callahan A: Ophthalmic Plastic Surgery, Up To Date . Birmingham, Ala, Aesculapius Publishing Co, 1970, p 190. 14. Mustarde JC: Repair and Reconstruction in the Orbital Region . Baltimore, Williams & Wilkins Co, 1971, p 290. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Medial Orbital Wall Fracture With Rectus Entrapment

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1975.00780300037009
Publisher site
See Article on Publisher Site

Abstract

Abstract Two cases of medial orbital fracture with medial rectus muscle entrapment are reported, one a bona fide blowout fracture. Review of the literature reveals six previous cases. Clinically, patients complain of diplopia with lateral gaze and forced duction tests confirm medial rectus entrapment. Radiographic confirmation is best obtained with hypocycloidal tomography. Surgical therapy is indicated for diplopia or enophthalmus. References 1. Converse JM, Smith B: Naso-orbital fractures . Trans Am Acad Ophthalmol Otolaryngol 67:622, 1963. 2. Jones IE: X-ray findings . Trans Am Acad Ophthalmol Otolaryngol 67:635, 1963. 3. Dodick JM, et al: Concomitant medial wall fracture and blow out fracture of the orbit . Arch Ophthalmol 85:273, 1971.Crossref 4. Miller GR, Glaser JS: The retraction syndrome and trauma . Arch Ophthalmol 76:662, 1966.Crossref 5. Edwards WC, Ridley RW: Blow-out fracture of medial orbital wall . Am J Ophthalmol 65:248, 1968. 6. Rumelt MB, Ernest JT: Isolated blowout fractures of the medial orbital wall with medial rectus muscle entrapment . Am J Ophthalmol 73:451, 1972. 7. Tokel SL, Potter GD: Radiographic diagnosis of fracture of the medial wall of the orbit . Am J Ophthalmol 67:772, 1969. 8. Fischbein FI, Leski WS: Blow out fracture of the medial wall of the orbit . Am J Ophthalmol 81:162, 1969. 9. Magnus WW, et al: A conjunctival approach to repair of fracture of medial wall of orbit: Report of a case . J Oral Surg 29:664, 1971. 10. Hoyt WF, Nachtigaller H: Anomalies of ocular motor nerves . Am J Ophthalmol 60:443, 1965. 11. Dodick JM, Galin MA, Berrett A: Radiographic evaluation of orbital blow out fracture . Can J Ophthalmol 4:370, 1969. 12. Haverling M: Diagnosis of blowout fracture of the orbit by tomography . Acta Radiol [Diagn] (Stock) 12:347, 1972. 13. Mustarde JC, Jones LT, Callahan A: Ophthalmic Plastic Surgery, Up To Date . Birmingham, Ala, Aesculapius Publishing Co, 1970, p 190. 14. Mustarde JC: Repair and Reconstruction in the Orbital Region . Baltimore, Williams & Wilkins Co, 1971, p 290.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Jan 1, 1975

References