Survey of the Patients with Orbital Wall Fracture

Abstract

In the emergency department, orbital wall fracture which is associated with fracture of basal skull or other facial bones is frequently seen. And orbital wall fractures which may produce cosmetic problems and functional orbital damages are increasing in

frequency with the rise in number of traffic accidents, assaults and sport activities.

Recently, we reviewed medical records of 54 cases which were taken orbital CT scan

in emergency department. These cases were analyzed in age and sex distribution, injury

causes, physical findings, anatomical locations, other skull and facial fractures, difficulties of diagnosis, and complications.

The diagnosis is based on clinical symptoms and signs and radiologic procedures, but

it may be difficult to detect fractures with plain X-rays of orbit because of the

superimposition of the shadow by other bony structures. It is important to recognize the

associated signs and symptoms in order that the diagnosis should not be missed. And

emergency physician should show much attention to its anatomical structure, difficulties of diagnosis with plain orbital films and later cosmetic and functional complications.