[A contribution to the operative treatment of diplopia in patients with long-standing orbital floor fractures. A combined operative technique by an ophthalmologist and an otorhinolaryngologist is described (author's transl)].
A patient with an 8-month old orbital floor fracture presented with inferior displacement of the globe, enophthalpmus and diplopia on upward gaze due to an entrapped inferior rectus muscle. In a combined approach, the orbital floor was first repaired by an otorhinolaryngologist. The ophthalmologist then severed the adhesions of the inferior rectus muscle, and a piece of silicone sheeting was sutured to periorbital tissue under the muscle to prevent the formation of new adhesions as well as to provide a smooth surface for the muscle to slide on. This approach restored the muscle function which has remained intact 13 months postoperatively. The simplicity of the procedure is stressed.
D000328:Adult; D004172:Diplopia / Q000601:surgery*; D005860:Germany, West; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D009885:Ophthalmology; D009915:Orbit / Q000293:injuries*; D010036:Otolaryngology; D010348:Patient Care Team; D012887:Skull Fractures / Q000150:complications*; D013997:Time Factors
Ein Beitrag zur operativen Behandlung der Diplopie bei älteren Orbitabodenfrakturen.