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Case Report

IJHSR. 2015; 5(3): 408-413


“Lateral Orbital Rim Osteotomy-Approach” For Management of Blow-in Fracture of Lateral Orbit Wall Causing Visual and Ocular Motility Disturbances: Report of Two Cases.

Vinayak Vishnu Raje, Kumar Nilesh.

Abstract
Lateral wall of orbit is formed by orbital process of zygomatic bone anteriorly and the greater wing of the sphenoid posteriorly. It is strongest among other orbital walls and is protected by thick lateral orbital rim. Fracture of the lateral orbital wall is uncommon, and is seen in cases of severe facial trauma, when forceful impact is directed over the orbital skeleton. Blow-in fracture of lateral orbital wall is rare and is commonly associated with zygomatico-malar complex (ZMC) fractures.
We report two cases of blow-in fracture of lateral orbital wall. Both the cases presented with visual and ocular motility disturbance. The cases were surgically accessed by lateral orbital rim osteotomy-approach. The aim of presenting these case reports is its rarity and the different modality used for its successful management.

Key words: Lateral wall, orbit, blow-in fracture, Osteotomy



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