OrbitalTraumaEdwardEllisIII1 DDS2 MSINTRODUCTIONOrbitalfracturesarecommonfacialinjuries3 occur-

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OrbitalTraumaEdwardEllisIII, DDS, MSINTRODUCTIONOrbitalfracturesarecommonfacialinjuries, occur- ringmoreofteninmenthaninwomen. Orbitaltraumaisthesecondleadingcauseofblindness, sothefirstpriorityfortheseinjuriesisthehealthoftheglobe. Thereisalsoahighassociationwithcerebralandocularinjuries. 1Thus, triagedictatesthattreatmentoforbitalfracturescanbedelayeduntilmorevitalfunctions/structureshavebeenmanaged. 2–4TypesofInjuriesManytypesoforbitalfracturesarepossible, andtheycanbebroadlybrokeninto2maintypes: pureandimpure. Impureorbitalfracturesarethosethatinvolve, inadditiontotheinternalorbit, theorbitalrim(s). Examplesarezygomatico– orbital, naso–orbito–ethmoid, LeFortmaxillary, andsupraorbitalrimfractures. Impureorbitalfrac- turesaremorecommonthanpure, withfracturesofthezygomaticcomplexbeingthemostcommonorbitalfracture. 1, 5Pureorbitalfracturesarealsocalledblowoutfractures. Blowoutfracturesarefracturesoftheinternalorbitalwallsorfloorwithoutaconcomitantfractureoftheorbitalrim(s). Mostorbitalblowoutfracturesoccuralongthefloorand/ormedialwallsoftheorbit, wherethewallsarethethinnest. Theremainderofthisarticlewillfocusoniso- latedfracturesoftheinternalorbit (ie, blowoutfrac- tures), becauseth...