scholarly journals Quantifying Eye Alignment in Orbital Fracture Patients: The Digital Hess Screen

2020 ◽  
Vol 22 (6) ◽  
pp. 427-432
Author(s):  
Sarah R. Akkina ◽  
Aliya Shabbir ◽  
Annamarie Lahti ◽  
Raghu C. Mudumbai ◽  
Christopher B. Chambers ◽  
...  
Keyword(s):  
Orbital Fracture ◽  
Eye Alignment

Resources: Internet Resources for the Independent Medical Evaluator – 2007

2007 ◽  
Vol 12 (4) ◽  
pp. 4-7
Author(s):  
Christopher R. Brigham ◽  
Jenny Walker
Keyword(s):  
Head Trauma ◽  
Clonic Seizure ◽  
Acute Subdural Hematoma ◽  
Orbital Fracture ◽  
Orbital Wall ◽  
First Occurrence ◽  
One Year ◽  
The One ◽  
Neurological Injuries ◽  
Medial Orbital Wall

Abstract Rating patients with head trauma and multiple neurological injuries can be challenging. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fifth Edition, Section 13.2, Criteria for Rating Impairment Due to Central Nervous System Disorders, outlines the process to rate impairment due to head trauma. This article summarizes the case of a 57-year-old male security guard who presents with headache, decreased sensation on the left cheek, loss of sense of smell, and problems with memory, among other symptoms. One year ago the patient was assaulted while on the job: his Glasgow Coma Score was 14; he had left periorbital ecchymosis and a 2.5 cm laceration over the left eyelid; a small right temporoparietal acute subdural hematoma; left inferior and medial orbital wall fractures; and, four hours after admission to the hospital, he experienced a generalized tonic-clonic seizure. This patient's impairment must include the following components: single seizure, orbital fracture, infraorbital neuropathy, anosmia, headache, and memory complaints. The article shows how the ratable impairments are combined using the Combining Impairment Ratings section. Because this patient has not experienced any seizures since the first occurrence, according to the AMA Guides he is not experiencing the “episodic neurological impairments” required for disability. Complex cases such as the one presented here highlight the need to use the criteria and estimates that are located in several sections of the AMA Guides.

Hypotony Without Globe Rupture During Orbital Fracture Repair

2021 ◽  
Author(s):  
Yvette L. Schein ◽  
Sana Ali Bautista ◽  
Joanna Kam
Keyword(s):  
Fracture Repair ◽  
Orbital Fracture ◽  
Globe Rupture

The Transcaruncular Approach to Orbital Fracture Repair

2007 ◽  
Vol 18 (2) ◽  
pp. 420-426 ◽  
Author(s):  
Raman Malhotra ◽  
George M. Saleh ◽  
Jean-Louis de Sousa ◽  
Ken Sneddon ◽  
Dinesh Selva
Keyword(s):  
Fracture Repair ◽  
Orbital Fracture

Pediatric Orbital Roof Fractures: A Ratio of Orbital Dimensions Correlated to Prevalence of Fracture

2020 ◽  
Author(s):  
Stephen C. Dryden ◽  
Andrew G. Meador ◽  
Andrew B. Johnston ◽  
Adrianna E. Eder ◽  
James C. Fleming ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Pediatric Population ◽  
Relative Length ◽  
Orbital Floor ◽  
Orbital Fracture ◽  
Orbital Roof ◽  
Fracture Patterns ◽  
Gender And Age ◽  
The Mean ◽  
Orbital Roof Fractures

Abstract Objective Orbital roof fractures are more likely to occur in younger children, specifically younger than 7 years. Cranium to face ratio decreases with age; however, there is no definition for measurement of the neurocranium or face. We propose using the length of the orbital roof as a measurement of the neurocranium and length of the orbital floor as a tool to estimate midface size. The purpose of this study is to test this measurement as a correlation rate of orbital roof fractures within the pediatric population. Design This is a retrospective study. Setting This study was done at the LeBonheur Children's Hospital. Participants Sixty-six patients with orbital roof fractures were identified and stratified by gender and age, specifically younger than 7 years and 7 years or older. Main Outcome Measures The main outcome measures were orbital roof length, floor length, and ratio thereof. Results Mean orbital roof length was 43.4 ± 3.06 and 45.1 ± 3.94 mm for patients <7 and ≥7 years, respectively (p = 0.02). Mean orbital floor length was 41.3 ± 2.99 and 47.7 ± 4.19 for patients <7 and ≥7 years, respectively (p < 0.00001). The mean roof to floor ratio (RTFR) for patients <7 years was 1.051 ± 0.039 and for patients ≥ 7 years was 0.947 ± 0.031 (p < 0.00001). Conclusion As children age, the relative length of the orbital roof decreases when compared with the orbital floor. The RTFR was more than 1.0 in children younger than 7 years. These differences were statistically significant when compared with children 7 years and older. This measurement shift follows the differences noted in orbital fracture patterns during childhood.

scholarly journals Surgical approach of orbitalsubperiosteal abscess associated with the orbital fracture

2015 ◽  
Vol 74 (5) ◽  
Author(s):  
Antonio Dionízio de Albuquerque Neto ◽  
Thaisa Reis de Carvalho Sampaio ◽  
Darlan Kelton Ferreira Cavalcante ◽  
Luciano Leocádio Teixeira Nogueira Filho ◽  
Pedro Thalles Bernardo de Carvalho Nogueira ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Orbital Fracture
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