Management of Isolated Medial Orbital Wall Fracture with Intraoral Periapical X-ray Film: A Case Report with Literature Review.

Abstract

Fractures of the walls of the orbit can cause a number of problems which include diplopia, extraocular muscle entrapment, enophthalmos, etc. Medial wall fractures are the most common among all orbital wall fractures, and their anatomical reconstruction is relatively challenging. Various autogenous and synthetic materials have been tried over the years, and each has its own advantages and limitations. In this case report, a 17-year-old male presented with an outward deviation of his left eye with binocular double vision since 18 days following a blunt injury with a tennis ball. He was diagnosed with a trapdoor fracture of the medial wall of the left orbit with entrapment of medial rectus muscle which was successfully managed by releasing the entrapped muscle and reconstructing the defect using an intraoral periapical X-ray film.