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December 1965

Blow-Out Fracture of the Orbital Floor

Author Affiliations

From the Massachusetts Eye and Ear Infirmary and Harvard Medical School.

Arch Otolaryngol. 1965;82(6):638-648. doi:10.1001/archotol.1965.00760010640017

Introduction  THE EYE can receive, withstand without rupture, and transmit a blow sufficiently forceful to fracture the walls of the orbit. This concept was not accepted until the advent of x-ray studies, permitting the recognition of the blow-out fracture of the floor of the orbit as a specific syndrome. This syndrome should not be confused with fractures of the floor of the orbit seen in association with other fractures, especially those of the middle one third of the face. We have reviewed a series of 27 cases of blow-out or internal fractures of the floor of the orbit which has provided interesting data with regard to diagnosis, surgical pathology and treatment, and ocular complications. The possibility of damage to the globe is often overlooked once the fracture is recognized. Detailed extraocular and intraocular examinations are necessary not only in diagnosis of the fracture but also in uncovering the multitude of