Craniofacial CT Scans revealed linear frontal bone fractures with subdural hemorrhages and pneumocephalus in the frontal area, fractures of the calvarial bones, lateral orbital walls, inferior orbital rims and orbital floors (Figure 1). Bilateral ocular pressures were measured at 14.6 mmHg. Visual acuity was 20/30 OD and 20/40 OS with bilateral limitations of extraocular muscle movement. On examination, contusion hematomas were noted over both periorbital areas. She was conscious and coherent with stable vital signs. We present a case of bilateral orbital floor fractures with diplopia repaired with conchal auricular cartilage graft in a 22 year old female.Ī 22 year old female was immediately brought to our emergency room following a head-on collision with an Asian utility vehicle while driving a motorcycle without a helmet. The challenge of choosing which among these methods will best achieve the goals of function and aesthetics always confronts surgeons, particularly in a developing country setting. Various techniques in diagnosis and treatment developed in the past 20 years, each having its own strengths and weaknesses. 2 Among 119 maxillofacial trauma cases seen and treated by the Department of Otorhinolaryngology of the East Avenue Medical Center from 2008-2009, 42 were diagnosed as cases of orbital fractures with 36% having concomitant involvement of the orbital floor. Relatively common in the Philippines, these fractures are frequently caused by violent assault followed by vehicular accidents involving motorcycles. 1 Patients usually present to the emergency room with periorbital swelling and limited eye movements, with or without changes in vision. Orbital wall fractures result from external impact injuries which cause an abrupt increase in intraorbital pressure. Department of Otorhinolaryngology Head and Neck Surgery East Avenue Medical Center
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