Facial pain from fractured orbital wall

The eye socket, or orbit, is a bony cavity that houses the eye, the muscles that move the eye, the surrounding blood vessels, nerves, and fat. Shaped like an empty ice cream cone it is composed of 7 facial bones. Each orbit can be described by the four orbital walls: the orbital roof superiorly which lies between the orbit and the brain and frontal sinus , the medial orbital wall which lies between the orbit and the nose, ethmoid and sphenoid sinuses , the orbital floor which lies between the orbit and the maxillary or cheek sinus , and the lateral orbital wall which lies between the orbit and temporal fossa. Some of the bone that makes up the medial orbital wall and the orbital floor is very thin like an eggshell and can be easily fractured from trauma. Blunt force like a fist may be transmitted to the eye socket and cause an orbital fracture by two mechanisms. The object may push on the eye causing the eye to move back in the socket, increasing pressure in the orbit.
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Orbital Facial Fractures

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Broken eye socket: Pictures, causes, and treatment

A broken eye socket usually causes intense pain, swelling, and a black eye, which make it easy to diagnose. The eye socket is the bony structure surrounding and protecting the eye. In addition to the eye, it houses all the muscles, nerves, and connective tissues that connect to and move the eye. Some parts of the eye socket are hard, thick, and difficult to break. Other areas are fragile and more prone to breaking. In this article, we look at the symptoms of a broken eye socket, as well as the different types of fracture that can occur. A broken eye socket always requires medical attention, but treatment and recovery times can vary according to the severity of the break.
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Eye Socket Fracture (Fracture Of The Orbit)

A facial fracture is a broken bone in the face. The face has a complex bone structure. The facial skeleton consists of the frontal bone forehead , zygomas cheekbones , orbital bones eye sockets , nasal bones, maxillary bones upper jaw and mandible lower jaw. There are many other bones that are found deeper within the facial structure.
periorbital petechiae in adults
The purpose of this study was to present the management of a series of patients referred with infraorbital nerve paraesthesia that developed after insignificant orbital floor fracture without diplopia or exophthalmos, and that did not require initial surgical repair. This is a retrospective interventional case series. The main outcome and measures were assessment of preoperative symptoms including neuralgia and sensory symptoms; review of periorbital computed tomography CT scans; and assessment of postoperative effects of surgery for infraorbital nerve decompression. Nine patients were identified who developed neuralgia affecting the infraorbital nerve distribution from a cohort of 79 patients who presented with orbital floor fracture. Six were female and three were male.
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