MAXILLOFACIAL INJURIES Orbital floor Fractures
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MAXILLOFACIAL INJURIES Orbital floor Fractures (blow out #s) Shape: Pyramidal Apex Optic foramen Roof, Lateral wall, floor & medial wall Direct injury to globe ďƒ› intraoccular pressure Fracture floor/medial wall www.indiandentalacademy.com
MAXILLOFACIAL INJURIES Orbital floor Fractures (blow out #s) • Applied anatomy • Clinical features • Radiographic features • Management www.indiandentalacademy.com
MAXILLOFACIAL INJURIES Orbital floor Fractures (blow out #s) Applied anatomy Floor : Zygoma & Maxilla Entrapment “Trap door effect” Diplopia , Enophthalmos
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MAXILLOFACIAL INJURIES Orbital floor Fractures (blow out #s) Clinical features Pain Edema Ecchymosis Proptosis Paraesthesia Emphysema Diplopia www.indiandentalacademy.com
MAXILLOFACIAL INJURIES Orbital floor Fractures (blow out #s) Radiographic features Occipito-mental view ( PNS, Water’s View) “Hanging Drop” CT Scan: Coronal cuts: Floor Axial cuts: Medial wall www.indiandentalacademy.com
MAXILLOFACIAL INJURIES Orbital floor Fractures (blow out #s) Management Diplopia & Enophthalmos Surgical & surgical only Create a new floor Bone Cartilage Metal: titanium www.indiandentalacademy.com
MAXILLOFACIAL INJURIES
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