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January 1959

Orbital Fractures

Author Affiliations

U. S. N.; U. S. Army; U. S. N.; U. S. N.; U. S. Army; U. S. Army
From the Ophthalmology Service (Cmdr. Erdbrink and Lieut. Col. Edwards), the Oral Surgery Service (Capt. Crowe and Capt. Johnson), and the Otolaryngology Service (Col. Cooke and Capt. Richmond), Tripler U. S. Army Hospital.

AMA Arch Ophthalmol. 1959;61(1):55-67. doi:10.1001/archopht.1959.00940090057008

Fractures about the orbit frequently involve orbital structures, and the patient many times presents himself first to the ophthalmologist, or the latter is called in consultation in the management of the patient. Presented here are the diagnostic features of orbital fractures with some various methods of treatment.

Trauma to the face is extremely common in auto accidents, fist fights, athletic injuries, and industrial and home accidents. The broken nose is the commonest of facial fractures, followed by fractures of the zygoma and mandible, although some surveys reverse the order of the latter two,1,2 There are three rules of thumb which should be kept in mind. Multiple facial fractures are the rule rather than the exception; around one-half are associated with major bodily injuries elsewhere, and at least one-fourth are associated with concomitant head injury.3

The "black eye" is the usual presenting picture of orbital trauma, and a fracture

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