Truamatic ophthalmoplegia: a complication of fractures of the zygomaticomaxillary complex. Review of etiology with report of an unusual case.
Ocular muscle imbalance is a common complication in fractures of the zygomaticomaxillary complex. Involvement can be direct; caused by entrapment of either the muscle or tendon in the fracture; or indirect, produced by central or peripheral damage to the cranial nerves supplying the muscles, massive orbital edema or hemorrhage. A case of complete paralysis of the extraocular muscles caused by a critical reduction of the size of the orbit as a result of fracture of the zygomaticomaxillary complex is described.
D000328:Adult; D005131:Eye Injuries / Q000209:etiology*; D006801:Humans; D008297:Male; D008440:Maxillary Fractures / Q000150:complications*; D009886:Ophthalmoplegia / Q000209:etiology*; D015051:Zygomatic Fractures / Q000150:complications*