Two main treatments for orbital blowout fractures

Speaking of fractures, I believe many people have deep feelings. Although fractures are not difficult to treat nowadays, fractures require long-term repair to restore health, so they have a great impact on life. So, if it is caused by trauma or an accident, how to treat orbital blowout fractures?

1. Conservative treatment

For those who have no extraocular muscle incarceration as shown by CT scan and less orbital soft tissue herniation into the maxillary sinus, non-surgical treatment can be used. It is believed that diplopia is the result of edema and inflammation at this time, and a large dose of glucocorticoids (prednisone 60mg/d) should be given to reduce edema and inflammation caused by contusion and reduce adhesion formation. The use of hemostatic agents and vitamins can reduce tissue bleeding and promote the recovery of temporary motor nerve paralysis caused by contusion. Dehydrating agents can also be given to reduce edema between tissues. Functional training should be performed while taking the medicine. Rotate in the direction of restricted extraocular muscle movement, three times a day, 100 times each time. Or repeatedly pull. A considerable number of cases can recover through the above treatment.

2.Surgery

The purpose of surgery is to eliminate diplopia and correct enophthalmos as much as possible. Surgery may be considered for patients with the following symptoms:

①Ocular movement is obviously impaired, and the range of diplopia is relatively large.

② The eyeball is obviously sunken, affecting the appearance.

②The pull test was positive, with no recovery trend.

④CT confirmed extraocular muscle incarceration and extensive orbital herniation.