+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Displaced orbital roof fractures: presentation and treatment

, : Displaced orbital roof fractures: presentation and treatment. Plastic and Reconstructive Surgery 87(4): 657-661

Of 457 patients with facial fractures admitted by the plastic surgery service from 1986 to 1988 at Wayne State University, there were seven displaced orbital roof fractures in five patients. All presented with supraorbital rim fractures, inferior dystopia, limitation of supraduction, upper eyelid ptosis, and diplopia. Proptosis was present in four orbits in three patients. One of these patients had an orbital floor fracture. However, enophthalmos was present in three orbits in two patients with associated zygoma and floor fractures. Two patients had intracranial neurologic injuries, but no ocular injuries were seen. Patients underwent frontal craniotomy and removal of the supraorbital rim for exposure. The orbital roof was reconstructed with outer-table cranial bone grafts. Associated fractures were repaired. Mean follow-up was 21.4 months. In all patients, the inferior dystopia, proptosis or enophthalmos, limitation of supraduction, and diplopia were corrected. In one patient, residual mild eyelid ptosis was seen. No residual neurologic or ocular injury was seen.


PMID: 2008463

Other references

Yasuda, J.; Yamamoto, T.; Ito, M.; Honjo, H.; Okada, H.; Kanao, M., 1982: Fundamental and clinical studies on cefotaxime in the perinatal period. Fundamental and clinical studies on the perinatal use of cefotaxime (CTX, HR-756), a new cephalosporin antibiotic, were done, with the following results. 1. Following intravenous administration of 2 g of CTX, transport of CTX from maternal serum t...

Gomez-Ortiz, M.; Gomis-Rueth, F., X.; Huber, R.; Aviles, F., X., 1997: Inhibition of carboxypeptidase A by excess zinc: Analysis of the structural determinants by X-ray crystallography. Pancreatic metallocarboxypeptidases are inhibited by a millimolar excess of zinc together with other exo- and endometalloproteases. We have analyzed the structure of bovine carboxypeptidase A inhibited by an excess of zinc ions using X-ray crystal...

Bailey, L., 1988: A place to call my own. Tradimus 8): 29-30

Wong, M.L.; Back, P.; Candy, G.; Nelson, G.; Murray, J., 2007: Cryptococcal pneumonia in African miners at autopsy. SETTING: Deceased miners from South Africa whose cardiorespiratory organs were submitted for autopsy for compensation for occupational lung diseases from 1996 to 2000. OBJECTIVES: To (1) calculate the prevalence of cryptococcal pneumonia in 8421 a...

Lara, H.E.; Porcile, A.; Espinoza, J.; Romero, C.; Luza, S.M.; Fuhrer, J.; Miranda, C.; Roblero, L., 2001: Release of norepinephrine from human ovary: coupling to steroidogenic response. We investigated the possibility that norepinephrine from the human ovary is released after nerve stimulation and that this neurotransmitter is coupled to a steroidogenic response. Biologically significant levels of both norepinephrine and dopamine...

Spitzenberg, G.K., 1940: Die trichterformig erhohte Schutz- und Wasserfangscheibe. A funnel-shaped mound of loose earth around newly planted tree seedlings, especially on sandy soil that dries out readily, protects them from drought as well as giving mechanical protection.

Malkasian, G.D., 1989: Abortion -- impact on public health. State Health Legislation Report 17(4): 1-8

Hofmann, S.; Thoma-Uszynski, S.; Hunziker, T.; Bernard, P.; Koebnick, C.; Stauber, A.; Schuler, G.; Borradori, L.; Hertl, M., 2002: Severity and phenotype of bullous pemphigoid relate to autoantibody profile against the NH2- and COOH-terminal regions of the BP180 ectodomain. Bullous pemphigoid, the most common autoimmune subepidermal bullous disorder, is associated with autoantibodies targeting antigenic sites clustered within the extracellular domain of BP180. To investigate epitope and subclass specificity of autoan...

Nevole, S.; Ruzicka, K., 1951: Medical documentation in the Czechoslovak Republic. Polski Tygodnik Lekarski 6(39): 1282-1284

Bauer, K.A.; Rosendaal, F.R.; Heit, J.A., 2002: Hypercoagulability: too many tests, too much conflicting data. It is now possible to identify hereditary and acquired risk factors in a substantial percentage of patients presenting with a venous thrombotic event. The clinician is faced with an ever-growing number of laboratory tests that can be ordered in su...