Urgent rescue of 'missing rectus' in blowout fracture.
Because guidelines for the treatment of blowout fractures have not been defined for urgent-care surgery, some patients retain a sight-threatening strabismus after surgery. The authors present a case involving the immediate operation of a blowout fracture based on CT findings and symptoms, demonstrating that early intervention may restore the full range of motion in the affected eye. The CT image showing the absence of the inferior rectus muscle on the orbital floor and no apparent fracture indicates the muscle strangulation. Immediate surgery must be performed to prevent irreversible muscular degeneration in such cases, rather than delaying the procedure by several days.
Yano
Hiroki
H
Department of Plastic and Reconstructive Surgery, Nagasaki University School of Medicine, Nagasaki, Japan. h-yano@net.nagasaki-u.ac.jp
Minagawa
Tomohiro
T
Masuda
Kana
K
Hirano
Akiyoshi
A
D000058:Accidental Falls; D002648:Child; D004172:Diplopia / Q000209:etiology* / Q000601:surgery; D006547:Hernia / Q000000981:diagnostic imaging / Q000209:etiology; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000601:surgery*; D009915:Orbit / Q000000981:diagnostic imaging / Q000601:surgery*; D009917:Orbital Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D020127:Recovery of Function; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology