Ducroz V, Divaris M, Franchi G, Hamedani M, Slama M, Chikhani L, Bertrand J C, Guilbert F
Service de Stomatologie et Chirurgie Maxillo-Faciale, Hôpital de la Salpêtrière, Paris.
Rev Stomatol Chir Maxillofac. 1995;96(3):137-41.
Fractures or the medial wall of the orbit are uncommon and clinical signs are often discreet. This report was focused on isolated fractures of the medial wall of the orbit. Blow-out trauma is usually the cause. In these cases the clinical signs ranged from simple ecchymosis to blindness by haematoma of the orbital cone. Computed tomography is a major tool for diagnosis and making therapeutic indications for these fractures. Treatment depends on the oculomotor involvements as measured by forced duction tests.
眼眶内侧壁骨折并不常见，临床体征往往不明显。本报告聚焦于眼眶内侧壁的孤立性骨折。爆裂性外伤通常是其病因。在这些病例中，临床体征从单纯的瘀斑到因眶锥血肿导致的失明不等。计算机断层扫描是诊断这些骨折并给出治疗指征的主要工具。治疗取决于通过强制牵拉试验所测得的动眼神经受累情况。
