ORBITAL FRACTURES Flashcards
1
Q
Mechanism: Orbital Blow Out Fracture
A
Small diameter object strikes globe
Fracture of the inferior or medial orbit walls
No orbital ridge or rim fracture
Herniation or entrapment of adipose, inferior rectus or the inferior oblique within the maxillary or ethmoid sinus
2
Q
Clinical Features: Orbital Blow Out
A
Enophthalmos (herniation of globe contents)
Infraorbital anesthesia
Diplopia with upward gaze (entrapment of IR, IO, orbital fat)
3
Q
Clinical Features: Naso-orbito-ethmoid fracture
A
Pain with eye movement
Traumatic telecanthus
Epiphora
CSF leak
4
Q
ED Management: Orbital Blowout Fracture
A
Clavulin 875 mg
1 tab po bid
Decongestants:
Phenylephrine Intranasal spray
2-3 spray per nostril q 4 hrs
No nose blowing
Follow up with plastic surgery
