Conservative treatment of blow out fracture: Clinical case report

Authors

DOI:

https://doi.org/10.33448/rsd-v12i13.43997

Keywords:

Orbital fractures; Tomography X-Ray computed; Conservative treatment.

Abstract

Orbital fractures are common in facial trauma. The identification of a lesion involving any wall of the orbit must be preceded by a good history, physical examination and complementary imaging tests. The orbital fracture that involves the orbital floor is called Blow Out and occurs due to the increase in orbital pressure by the soft tissues resulting from blunt trauma, generating the “explosion” of the orbital floor and depression of the orbital contents into the maxillary sinus. This study aimed to report a clinical case of an adolescent victim of physical aggression resulting in a Blow Out orbital fracture. This is a male patient, 15 years old, presenting pain in the left orbital region, enophthalmos and diplopia in the eye. left. The Waters radiography and computed tomography revealed herniation of the orbital fat into the maxillary sinus, which was compatible with the type of orbital fracture. It was concluded that knowledge of the indications and contraindications for defining conservative treatment or surgical treatment is of paramount importance, in order to avoid an unfavorable prognosis for the patient or subjecting him to surgical procedures with serious risks of complications, without due care. recommendation.

References

Bera, R. N., Tiwari, P., & Pandey, V. (2022). Does Early Treatment of Paediatric Orbital Fracture Offer Any Advantage in Terms of post-operative clinical outcomes. Journal of Maxillofacial And Oral Surgery, 21(1), 25-33.

Bregman, J. A., Vakharia, K. T., Idowu, O. O., Vagefi, M. R., & Grumbine, F. L. (2019). Outpatient Surgical Management of Orbital blowout fractures Craniomaxillofacial trauma & Reconstruction, 12(3), 205-2010.

Burm, J. S. (2005). Internal fixation in trapdoor-type orbital blowout fracture. Plastic and reconstructive surgery, 116(4), 962-970.

Canto, A. J. D. & Linberg, J.V. (2008). Comparison of orbital fracture repair performed within 14 days versus 15 to 29 days after trauma. Ophthalmic Plastic and reconstrutive surgery, 24(6),437-443.

Cellina, M., Cè, M., Marziali, S., Irmici, G., Gibelli, D., Oliva, G., & Carrafiello, G. (2022). Computed tomography in traumatic orbital emergencies: a pictorial essay- Imaging findings, tips, and report flowchart. Insights into Imaging, 13(4).

Converse, J. M., & Smith, B. (1960). Blowout fracture of the floor of the orbit. Transactions- American academy of ophthalmology and otolaryngology, 64,676-688.

Forrest, L. A., Schuller, D. E., & Strauss, R. H. (1989). Management of orbital blow-out fractures. Case reports and discussion. The american journal of sports medicine, 17(2), 217-220.

Grob, S., Yonkers, M., & Tao, J. (2017). Orbital Fracture Repair. Seminars in Plastic Surgery, 31(1), 31-39.

Higashino, T., Hirabayashi, S., Eguchi, T., & Kato, Y. (2011). Straightforward factors for predicting the prognosis of blow-out fractures. The Journal of craniofacial surgery, 22(4), 1210-1214.

Hummer, B. (2005). Orbital Fractures- Diagnosis, Operative Treatment, Secondary Corrections. Livraria Santos.

Jank, S., Schuchter, B., Emshoff, R., Strobl, H., Koehler, J., Nicasi, A., Norer, B., & Baldissera, I. (2003). Clinical Signs of orbital wall fractures as a function of anatomic location. Oral. Surgery, oral medicine, oral pathology, oral radiology, and endodontics, 96(2), 149-153.

Koenen, L. & Waseem, M. (2023). Orbital Floor Fracture. Statpearls publishing.

Laine, F. J., Conway, W. F., & Laskin, D. M. Radiology of Maxillofacial trauma. Current problems in diagnostic radiology, 22(4), 145-188.

Lozada, K. N., Cleveland, P. W., & Smith, J. E. (2019). Orbital Trauma. Seminars in Plastic Surgery, 33(2), 106-113.

Ozturker, C., Sari, Y., Ozbilen, K. T., Ceylan, N. A., & Tuncer, S. (2022). Surgical Repair of orbital blow out fractures: outcomes and complications. Beyoglu Eye Journal, 7(3), 199-206.

Pidro, A., Jovanovic, N., Kadribasic, E., Barucija, N., Leto, N., & Kahana, A. (2021). Delayed Management of an Orbital Floor Blow-Out Fracture. Beyoglu Eye Journal, 6(3), 249-253.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handl e/1/158 24/LicComputacao_MetodologiaPesquisaCientifica.pdf?sequence=1

Putterman, A. M., Stevens, T., & Urist, M. J. (1974). Non-surgical management of blow out fractures of the orbital floor. American Journal Ophthalmology, 77, 232-239.

Scolari, N. & Heitz, C. (2012). Treatment protocol for orbital fractures. Revista da Faculdade de Odontologia Universidade de Passo Fundo, 17(3).

Seifert, L. B., Mainka, T., Herrera-Vizcaino, C., Verboket, R., & Sader, R. (2022). Orbital floor fractures: epidemiology and outcomes of 1594 reconstructions. European Journal of Trauma and Emergency Surgery, 48(2), 1427-1436.

Simon, G. J. B., Syed, H. M., McCann J. D., & Goldberg, R. A. (2009). Early versus late repair of orbital blow out fractures. Ophthalmic surgery, lasers & Imaging: the oficial journal of the International Society for Imaging in the Eye, 40(2), 141-148.

Published

27/11/2023

How to Cite

ALMEIDA, M. de C. .; SANTOS, J. V. S. dos .; SANTOS, I. C. . O. .; MOREIRA, G. C. .; REIS, A. B. B. .; OLIVEIRA, P. S. de; REPEKE, C. E. . Conservative treatment of blow out fracture: Clinical case report. Research, Society and Development, [S. l.], v. 12, n. 13, p. e39121343997, 2023. DOI: 10.33448/rsd-v12i13.43997. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/43997. Acesso em: 14 may. 2024.

Issue

Section

Health Sciences