title: Conservative treatment of isolated medial orbital wall fractures.
abstract: The decision to use surgical or nonsurgical treatment for orbital blow-out fractures is still controversial. Previously, it was advocated that all blow-out fractures should be treated surgically based on the conception that extraocular muscles were blown out and trapped in the fracture area. However, a shift to a more conservative approach occurred gradually, most likely due to the evidence of spontaneous improvement. The medical records of two patients who were diagnosed as having an isolated medial wall fracture with medial rectus muscle displacement into the ethmoid sinus, as demonstrated by computed tomography, were reviewed. Both patients showed improvement only with conservative therapy.
authors.affiliation: Department of Ophthalmology, Marmara University School of Medicine, Istanbul, Turkey.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Yenice
authors.forename: Mehdi Süha
authors.initials: MS
authors.lastname: Ogüt
authors.forename: Sumru
authors.initials: S
authors.lastname: Onal
authors.forename: Eda
authors.initials: E
authors.lastname: Ozcan
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D003657:Decision Making; D004172:Diplopia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal