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Case Reports
. 2024 Dec;23(6):1653-1657.
doi: 10.1007/s12663-024-02315-0. Epub 2024 Aug 28.

Management of Isolated Medial Orbital Wall Fracture with Intraoral Periapical X-ray Film: A Case Report with Literature Review

Kime Nuyu  1 , Neha Umakant Chodankar  1 , Vathsalya Vijay  2 , Vikas Dhupar  1 , Francis Akkara  1
Affiliations
Case Reports

Management of Isolated Medial Orbital Wall Fracture with Intraoral Periapical X-ray Film: A Case Report with Literature Review

Kime Nuyu et al. J Maxillofac Oral Surg. 2024 Dec.

Abstract

Fractures of the walls of the orbit can cause a number of problems which include diplopia, extraocular muscle entrapment, enophthalmos, etc. Medial wall fractures are the most common among all orbital wall fractures, and their anatomical reconstruction is relatively challenging. Various autogenous and synthetic materials have been tried over the years, and each has its own advantages and limitations. In this case report, a 17-year-old male presented with an outward deviation of his left eye with binocular double vision since 18 days following a blunt injury with a tennis ball. He was diagnosed with a trapdoor fracture of the medial wall of the left orbit with entrapment of medial rectus muscle which was successfully managed by releasing the entrapped muscle and reconstructing the defect using an intraoral periapical X-ray film.

Keywords: Diplopia; Exotropia; Extraocular muscles; Orbital fractures; X-ray film.

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Conflict of interest statement

Conflict of interestThe authors declare that there is no conflict of interest.

References

    1. Song WK, Lew H, Yoon JS, Oh MJ, Lee SY (2009) Role of medial orbital wall morphologic properties in orbital blow-out fractures. Invest Ophthalmol Vis Sci 50(2):495–499. 10.1167/iovs.08-2204 - PubMed
    1. Insull EA, Hart RH, Sloan BH, Ben-Simon GJ, McNab AA (2013) Use of x-ray film implant for the repair of orbital fractures. Ophthalmic Plast Reconstr Surg 29(5):393–395. 10.1097/IOP.0b013e31829d02ab - PubMed
    1. Roth FS, Koshy JC, Goldberg JS, Soparkar CN (2010) Pearls of orbital trauma management. Semin Plast Surg 24(4):398–410. 10.1055/s-0030-1269769 - PMC - PubMed
    1. Thiagarajah C, Kersten RC (2009) Medial wall fracture: an update. Craniomaxillofac Trauma Reconstr 2(3):135–139. 10.1055/s-0029-1224775 - PMC - PubMed
    1. Wei LA, Durairaj VD (2011) Pediatric orbital floor fractures. J AAPOS 15(2):173–180. 10.1016/j.jaapos.2011.02.005 - PubMed

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