de Visscher J G, van der Wal K G
Dept. of Oral and Maxillofacial Surgery, Medisch Centrum Leeuwarden, The Netherlands.
J Craniomaxillofac Surg. 1988 Feb;16(2):55-9. doi: 10.1016/s1010-5182(88)80018-0.
An isolated blow-out fracture of the medial orbital wall is uncommon, whereas the incidence in conjunction with an orbital floor fracture is high. The most striking features of an isolated medial wall fracture are diplopia on medial and lateral gaze and/or enophthalmos. The cases of two patients with a fracture of the medial orbital wall with enophthalmos are presented. One patient had an isolated medial wall fracture, whereas the other had a combined medial and inferior orbital wall fracture. Treatment of the enophthalmos consisted of exposure of the medial wall fracture site using a bicoronal flap, freeing of the herniated soft tissues and reconstruction of the defect with an autogenous medial iliac bone graft. The incidence, aetiology, pathogenesis, signs and symptoms and surgical treatment of the isolated orbital medial blow-out fracture are discussed.
孤立性眶内侧壁爆裂骨折并不常见，而与眶底骨折同时发生的发生率较高。孤立性眶内侧壁骨折最显著的特征是内、外注视时出现复视和/或眼球内陷。本文介绍了2例伴有眼球内陷的眶内侧壁骨折患者的病例。1例患者为孤立性眶内侧壁骨折，另1例患者为眶内侧壁和眶下壁联合骨折。针对眼球内陷的治疗包括使用双冠状皮瓣暴露眶内侧壁骨折部位，松解疝出的软组织，并采用自体髂骨移植修复缺损。本文还讨论了孤立性眶内侧壁爆裂骨折的发生率、病因、发病机制、体征和症状以及手术治疗方法。
