伴有眼外肌嵌顿的眶内侧壁骨折

Medial orbital wall fracture with rectus entrapment.

作者信息

Davidson T M, Olesen R M, Nahum A M

出版信息

Arch Otolaryngol. 1975 Jan;101(1):33-5. doi: 10.1001/archotol.1975.00780300037009.

DOI:10.1001/archotol.1975.00780300037009

PMID:1119986

Abstract

Two cases of medial orbital fracture with medial rectus muscle entrapment are reported, one a bona fide blowout fracture. Review of the literature reveals six previous cases. Clinically, patients complain of diplopia with lateral gaze and forced duction tests confirm medial rectus entrapment. Radiographic confirmation is best obtained with hypocycloidal tomography. Surgical therapy is indicated for diplopia or enophthalmus.

摘要

报告了两例伴有内直肌嵌顿的眶内侧壁骨折病例，其中一例为真正的爆裂性骨折。文献回顾显示此前有6例病例。临床上，患者主诉外展时复视，强制牵拉试验证实内直肌嵌顿。采用眼眶断层摄影术能最好地获得影像学确诊。对于复视或眼球内陷，需进行手术治疗。