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Open Ophthalmol J. J Craniofac Surg. Ben Simon GJ, Bush S, Selva D, McNab AA. Andrey is a coach, sports writer and editor. This can lead to permanent ocular motility disorder and visual impairment due to its proximity to the extraocular muscles and optic nerve. If the bone on the opposite side is also fractured and not stable the best method of securing the medial canthal tendon is to place a small screw into the bone of the contralateral anterior, superior orbital wall and tightening the wire around that screw. Trans Am Ophthalmol Soc 1999;97:87113. The recti muscles are more likely to be impacted given their proximity to the orbital walls when compared to the oblique muscles. Lamina papyracea is Latin for paper-thin, which is an appropriate term to describe this thin sheet or paper-like osseous structure. Michael Menna, DO, is board-certified in emergency medicine. Management of retrobulbar hematoma Four walls form the boundaries of the orbit. Male patient presented with a history of being punched in the right eye 4 days prior to presentation. WebFracture of the lamina papyracea can severely affect the maxillary sinus. Your eye might not move properly, or you might have double vision or other vision problems. The ethmoid bone is a cube-shaped bone located in the center of the skull between the eyes. Orbital lamina of ethmoid bone - Wikipedia The classification and treatment of lamina papyracea blow Surgery for Nasal Cavity and Paranasal Sinus Cancers, Mucus production to trap allergens or other particles that may be harmful as you breathe in through your nose, Enophthalmos (displacement of the eyeball, Telecanthus (increased distance between the inner corners of the eyes), "Raccoon eyes" (bruising around the entire eye). WebFurthermore, damage to the lamina papyracea is a potential complication of endoscopic sinus surgery. The bones that make up the spine are known as vertebrae. The ampullae measure 2 mm in length on average. The 'white-eyed' blowout fracture (WEBOF) is an injury that is often overlooked in head trauma patients, as it often has few overt clinical and radiographic features. Because the ethmoid bone is in the middle of the face, it functions to support a variety of everyday activities. Acute Sinusitis. 7. The lamina papyracea, translated from Latin as thin wall, is part of the ethmoid bone and is the thinnest bone of the orbit. This male was involved in a motor vehicle accident and sustained facial trauma (Figure 4). Those patients may report eye ache with upward gaze, or youll notice them guarding their gaze, avoiding certain directions., Greenstick trapdoors. Common indications for repair include the following: Persistent diplopia after edema subsides at 1 to 2 weeks, Positive forced-duction testing that indicates a tightly trapped muscle, Enophthalmos >2 mm not cosmetically acceptable to the patient, Significant early enophthalmos with a large floor fracture, Large (>50 percent of the wall) or complex, multi-bone fracture.