objective:  to report the outcome of subciliary approach for inferior orbital rim fractures in a series of iranian patients. methods:  this was prospective cross-sectional, being performed during a 12-month period during 2013 in plastic surgery department of emamreza hospital of mashhad. we included 12 patients with traumatic inferior orbital rim fractures who underwent surgical repair through ...

Orbital emphysema is a common symptom accompanying orbital fracture. The pathomechanism is still not recognized and the usually assumed cause, elevated pressure in the upper airways connected with sneezing or coughing, does not always contribute to the occurrence of this type of fracture. Observations based on the finite model (simulating blowout type fracture) of the deformations of the inferi...

blow out fracture is a common disease in oculoplastics clinics. one of indication for surgical intervention is entrapment of inferior rectus muscle in the fractured site. in this article authors represent two cases with this disease who underwent surgery for the entrapment of perimuscular fascia without inferior rectus muscle involvement. the results of treatment in both cases were excellent. t...

The ultimate goal in treating zygomatic complex fracture is to obtain an accurate, stable reduction while minimizing external scars and functional deformity. The present authors present our experiences with a single transconjunctival incision and two-point (inferior orbital rim and frontozygomatic suture) fixation in 53 patients with zygomatic complex fracture which were not comminuted. All pat...

Blow out fracture of orbit involves fracture of orbital floor without fracture of infraorbital rim. This injury is common from frontal blow to orbit. Frontal blow to orbit causes increased intraorbital tension causing fracture of floor of the orbit (weak point) with prolapse of orbital content into the maxillary sinus cavity. This causes enophthalmos and diplopia. Infraorbital rim is not involv...

Displaced tripod zygomaticomaxillary complex (ZMC) fractures are generally treated with open reduction and 3-point rigid internal fixation at the frontozygomatic suture, zygomaticomaxillary buttress, and inferior orbital rim. However, a clinical dilemma still exists in the postoperative morbidities such as ectropion of the lower eyelid and palpability of the Ti-plate at the inferior orbital rim...

BACKGROUND The purpose of this study was to present the feasibility of reconstructing an inferior orbital rim and cheek defect with a pedicled osteomyocutaneous submental flap. METHOD A 77-year-old women with a right nasosinusal adenoid cystic carcinoma invading soft tissues and skin of the cheek, the inferior rim of the orbit, the hard palate, and the middle turbinate is presented. A right r...

The term blow-out fracture was co ined by Smith and Regan [1] to describe an orbital floor fracture caused by a very sudden increase in intraorbital pressure without concomitant fracture of the orbital rim . Most blow-out fractures involve the orbital floor. Less often the medial orbital wall is fractured either solely or in conjunction with a fracture of the floor [2]. Upward displacement frac...

Direct oblique sagittal CT was used to evaluate trauma to 77 orbits. Sixty-seven orbital wall fractures with intact orbital rims (36 floor, 22 medial wall, nine roof) were identified in 47 orbits. Since persistent diplopia and/or enophthalmos may warrant surgical repair of orbital floor fractures, optimal imaging should include an evaluation of extraocular muscle status, the nature and amount o...