We write about an interesting article by Zaggut et al
1, that was published in your journal. We wondered what the authors’ opinions are regarding the concept of the thin orbital floor and medial orbital wall being akin to a biological orbital “crumple zone.” The orbit has a pyramidal shape with a wide base and narrow apex.
- Zaggut A.
- Perry M.
Do orbital floor plates adequately protect against serious secondary injury?.
Br J Oral Maxillofac Surg. 2019; 57: 539-542
2Ordinarily, forcing the globe into the orbit would increase orbital pressure as the globe moves posteriorly into a smaller space. Subsequently, the medial orbital wall or orbital floor would preferentially fracture before the intraocular pressure increased to levels that might cause the globe to rupture. As recommended by the authors, fixation for second-time orbital fracture repair may preclude this evolutionary and protective anatomical mechanism.
- Dutton J.J.
Atlas of Clinical and Surgical Orbital anatomy.
2nd ed. Elsevier Saunders, 2011
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- Do orbital floor plates adequately protect against serious secondary injury?.Br J Oral Maxillofac Surg. 2019; 57: 539-542
- Atlas of Clinical and Surgical Orbital anatomy.2nd ed. Elsevier Saunders, 2011
Published online: January 13, 2020
Crown Copyright © 2020 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons. All rights reserved.