What is a lamina papyracea fracture?

A blow-out fracture occurs when a blow to the eye increases pressure in the orbit, causing the weak floor or the medial wall (lamina papyracea) to “blow out” into the maxillary sinus or ethmoid bone. [4, 5, 6, 7, 8, 9, 10] This results in a fracture, although it often prevents globe rupture and loss of the eye.

Does orbital floor fracture require surgery?

Currently, the most common treatment for orbital floor fractures is immediate surgical intervention. However, there are a number of well-documented cases of unoperated orbital floor fractures in the literature, culminating in diplopia or enophthalmos in few patients.

What is treatment for orbital fracture?

For many orbital fractures, surgery is not necessary. Your ophthalmologist may recommend the use of ice packs to reduce swelling, along with decongestants and antibiotics. Sneezing with the mouth open, avoidance of nose blowing, or vigorous straw usage are necessary for several weeks to prevent further injury.

How long does a fractured orbital bone take to heal?

Conclusions: Orbital floor strength is regained 24 days after repair. The authors now let patients resume normal activities approximately 3 weeks after uncomplicated orbital floor fracture repair. This is one of many clinical factors in assessing the return to normal activities.

What is the right lamina papyracea?

Introduction. The lamina papyracea (LP) is the weakest point of the medial wall of the orbit, which forms a connecting line between paranasal sinuses and the orbit. Also, the ethmoidal foramina along the LP are life-saving anatomical landmarks and allow transverse passage of the ethmoidal arteries into ethmoidal cells.

What kind of doctor treats orbital fractures?

For the isolated orbital fractures, the ophthalmologist is well equipped to diagnose and treat these injuries. In the setting of more complex fractures, a multidisciplinary approach may be necessary. However, the ophthalmologist should take the lead as the guardian of ocular function.

How do you repair an orbital floor fracture?

Repair of an orbital floor fracture involves bridging of the floor defect using one of the various biomaterials. More commonly, titanium meshes, porous polyethylene sheets, or autologous bone grafts. Titanium meshes and bone grafts are radiopaque.

What is lamina Papyracea?

The lamina papyracea (LP) is the weakest point of the medial wall of the orbit, which forms a connecting line between paranasal sinuses and the orbit. Also, the ethmoidal foramina along the LP are life-saving anatomical landmarks and allow transverse passage of the ethmoidal arteries into ethmoidal cells.

Can a orbital fracture heal on its own?

Some orbital wall fractures heal on their own, while others require surgery. Your doctor will discuss which treatment is right for you. Two types of surgery are used for orbital wall fractures: Traditional surgery, which requires an open incision.

Can you exercise with an orbital fracture?

Rest – Your doctor will instruct you to avoid any strenuous exercise, and will instruct you to not forcefully blow your nose after the fracture has been diagnosed. This is to prevent air from the sinuses around the eye from going under the skin and causing swelling and more discomfort.

How serious is an orbital fracture?

Most patients with any form of facial fracture — such as orbital — will experience moderate to severe pain, which needs to be managed. This is due to a relatively high density of sensory pain fibers in the facial and orbital regions, thus making pain symptoms significant.

What are the treatment options for lamina papyracea blow-out fracture?

The transnasal endoscopic operation on serious lamina papyracea blow-out fracture cases produces a good curative effect. Adolescent Adult Aged Child Endoscopy Ethmoid Sinus / injuries*

What is the lamina papyracea?

The lamina papyracea is a smooth bone plate shaped like a leaf that is commonly known for being situated close to the ethmoid bone in the musculoskeletal system. The ethmoid bone forms the area of the skull at the roof of the nose, where it sets the nasal cavity apart from the brain.

How does fracture of the lamina papyracea affect the maxillary sinus?

Fracture of the lamina papyracea can severely affect the maxillary sinus. When the maxillary sinus is affected by a fracture of the lamina papyracea, it can increase the chance of infection entering and spreading throughout the eyes.

What happens to the lamina papyracea during a fight?

Due to its thin nature, the lamina papyracea can easily fracture. This can be achieved during a fight, with a blow delivered to the eye. Such violent pressure causes the thin layer to push into the ethmoid bone or the maxillary sinus, which is an air-filled space in the upper jaw anatomically known as the maxilla.