BACKGROUND One of the main concerns in orbital blowout fracture repair is a narrow operation field, due mainly to the innate complex three dimensions of the orbit; however, a deep location and extensive area of the fracture and soft tissue edema can also cause concern. Swelling of the orbital contents progresses as the operation continues. Mannitol has been used empirically in glaucoma, cerebra...

The medial wall and floor of the bony orbit are frequently fractured because of the delicate anatomy. To optimize functional and aesthetic results, reconstructive surgeons should understand the anatomy and pathophysiology of orbital fractures. Appropriate treatment involves optimal timing of intervention, proper indications for operative repair, incision and dissection, release of herniated tis...

What would you think of if you see a pathologic collection of air as lucency at the superior aspect of the orbital globe in the AP skull radiograph? a) Periorbital abscess b) Orbital emphysema c) Orbital cellulites d) Periorbital foreign body e) Periorbital lymphaticovenous malformation A 9-year-old boy presented to the emergency department (ED) with crepitant swelling of the right upper eyelid...

DESCRIPTION A 7-year-old boy was brought to the emergency department with a chief complaint of vomiting multiple times over the previous 24 hours. He had been struck in the face by his elder brother's knee while wrestling the day prior.

BACKGROUND Porous polyethylene implants are commonly used in orbital blowout fracture repair because of purported biocompatibility, durability, and low frequency of complications. Delayed inflammation related to porous polyethylene sheet implants is very rare and no case series of this condition have been reported. CASE PRESENTATION This is a retrospective review of clinical presentations, ra...

We report a relatively rare case of an essentially isolated orbital roof "blow-in" fracture in a pediatric patient. A 13-year-old male presented with headache and nausea following blunt facial trauma sustained during a skate boarding accident. CT head revealed soft tissue swelling and an abnormal bony density in the superior, posterior right orbital region. Follow-up CT orbits revealed a commin...

Inferior 'trapdoor' orbital floor fractures with muscle and soft tissue incarceration are the most common type of orbital fracture in children. Delays to treatment can lead to a significant morbidity. It has been recommended that children who present with a 'white-eyed blowout' fracture should have surgery performed within 48h of diagnosis, otherwise prognosis is poor. A 14-year-old boy was ini...

Four patients with orbital blowout fractures were evaluated by surface coil MR imaging, and the resulting images were compared with computer reformatted CT scans. The surface coil afforded significant improvement in spatial resolution, resulting in better demonstration of the blowout fracture. Surface coil MR was found superior to CT in the assessment of fracture site, extent of prolapsed orbit...

Pneumomediastinum (PM) is mainly an atypical finding among traumatic neck or thoracic injury patients. Moreover, PM secondary to isolated orbital floor fracture remains a rare event which is infrequently associated with severe complications such as mediastinitis, airway obstruction and pneumothorax. Herein, we report an atypical case of mediastinal emphysema consequent to orbital floor fracture...