Alsuhaibani Adel H
Department of Ophthalmology, King Abdulaziz University Hospital, King Saud University, P.O. Box 245, Riyadh 11411, Saudi Arabia.
Saudi J Ophthalmol. 2010 Apr;24(2):49-55. doi: 10.1016/j.sjopt.2009.12.003. Epub 2010 Apr 1.
The lateral orbital wall is the strongest among other orbital walls. However, it is commonly fractured in the setting of severe facial trauma. The fracture usually occurs at the sphenozygomatic suture line. In general, patients with lateral wall fractures are commonly young male who may present with mid facial swelling and some degree of deformity. In some cases, lateral orbital wall fracture may be associated with visual loss or change in mental status due to associated intracranial injury. Imaging studies with computed tomography is important in the proper diagnosis and planning of the surgical intervention. Management of intracranial or eye injuries should be undertaken on emergent basis. Thereafter, significantly displaced lateral wall fractures need to be repaired on timely basis. Proper realignment of the plane of the lateral orbital wall at the sphenozygomatic suture along with the other complex articulations of the zygomatic bone is necessary for proper functional and aesthetic outcome.
眶外侧壁是眼眶各壁中最坚固的。然而，在严重面部创伤情况下它常发生骨折。骨折通常发生在蝶颧缝处。一般来说，眶外侧壁骨折的患者多为年轻男性，可能表现为面中部肿胀和一定程度的畸形。在某些情况下，眶外侧壁骨折可能因合并颅内损伤而导致视力丧失或精神状态改变。计算机断层扫描成像研究对于正确诊断和手术干预规划很重要。应紧急处理颅内或眼部损伤。此后，明显移位的外侧壁骨折需要及时修复。为了获得良好的功能和美学效果，在蝶颧缝处正确重新排列眶外侧壁平面以及颧骨的其他复杂关节是必要的。
