A Medial Orbital Wall Fracture From Cricket Bat During Training: Surgical Approach

Curēus
Ilinka MisKonstantinos Natsis

Abstract

A 24-year-old male athlete, injured by a cricket bat during training, was transferred to the hospital with an open head bleeding trauma in the medial part of his right eye. He was conscious, with no memory loss and dizziness. A medial orbital wall fracture (MOWF) with a foreign body presence was depicted in X-ray. Head computed tomography scan confirmed initial diagnosis and revealed the complete fracture of ethmoid sinuses. Temporary sutures were placed initially to close the wound and prevent trauma's infection. The ophthalmological exam revealed strabismus of the right eye due to medial rectus muscle entrapment and consequent diplopia in the horizontal gaze. After two weeks, surgery was planned to remove the foreign body, restore eye mobility, and correct diplopia. The wooden foreign body (2.5cm x 1cm) was removed with immediate decompression of the medial rectus muscle. The fracture was repaired by an open approach, a mesh net was placed and sutured to the periosteum for bone stabilization and regeneration. Fifteen days postoperatively, visual acuity was 10/10, ocular mobility was normal, and diplopia disappeared. Imaging is essential in diagnosis' confirmation and reconstructive surgery planning, without postoperative comp...Continue Reading

References

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BETA
dissection
X-ray

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