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Treatment of Orbital Floor Fractures
DON E. McCLEVE, MD;
MARVIN H. QUICKERT, MD
Arch Otolaryngol. 1965;81(4):412-415.
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WHEN the eye is struck by a nonpenetratinghydraulic forces generated are often sufficient to cause fracture of the thin orbital floor with herniation of the orbital contents into the maxillary sinus. This frequently occurs without fracture of the orbital rim. The thin posterior two thirds of the orbital floor which is further weakened by the passage of the infraorbital nerve and artery is the area of predilection for fracture (Fig 1). Edema and hemorrhage may compensate for the displaced tissue, and it may be only after the acute phase has subsided that the injury becomes apparent by enophthalmos and limitation of eye movement. By this time repair becomes difficult with complete correction often impossible. Consequently, every physician treating injuries of the face and eye, even the common black eye, should be aware of this problem. The prime disability that may occur as a result of the injury is to the
. . . [Full Text PDF of this Article]
Author Affiliations
LOS GATOS, CALIF; SAN JOSE, CALIF
Clinical Instructor, Department of Surgery (Otorhinolaryngology), Stanford University School of Medicine (Dr. McCleve); Assistant Clinical Professor, Department of Ophthalmology, University of California, San Francisco Medical Center (Dr. Quickert).
Footnotes
Submitted for publication Sept 9, 1964.
Read before the Section of Laryngology, Otology, and Rhinology at the 113th Annual Meeting of the American Medical Association, San Francisco, June 23, 1964.
Reprint requests to 15861 Winchester Blvd, Los Gatos, Calif 95030 (Dr. McCleve).
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