Rauch S D
Arch Otolaryngol. 1985 Jan;111(1):53-5. doi: 10.1001/archotol.1985.00800030087013.
Blow-out fracture of the medial orbital wall, concomitant with tissue entrapment, is a rare condition occurring in those sustaining blunt trauma. Clinical signs of swelling, ecchymosis, enophthalmos, or diplopia during medial or lateral gaze is suggestive of the condition. Diagnostic confirmation is obtained by forced duction testing and computed tomography. Treatment with medial orbital decompression and limited ethmoidectomy is recommended in order to obtain optimum return of function with minimal risk.
眶内侧壁爆裂性骨折伴组织嵌顿是一种发生于钝性外伤患者的罕见病症。内侧或外侧凝视时出现肿胀、瘀斑、眼球内陷或复视等临床体征提示该病症。通过强迫性牵拉试验和计算机断层扫描可获得诊断性确认。建议采用眶内侧减压术和有限筛窦切除术进行治疗，以便在风险最小的情况下实现功能的最佳恢复。
