Past medical and surgical histories will also be obtained. Swelling and deformity of the cheek or foreheadĬomprehensive exam - Your doctor will conduct a thorough physical examination of your eyes and face – as well as gather information on how the injury occurred – to determine if you have an orbital facial fracture.Numbness of the cheek, upper lip, or upper teeth on the same side as the injured eye, which could be related to nerve trauma caused by the fracture.Double vision, decreased vision, or blurry vision. ![]() Difficulty looking up, down, right, or left.Abnormally flat-looking cheek, and possibly severe pain in that cheek when opening the mouth or chewing.Abnormal position of the eye, such as bulging or sinking down into a lower position.While they vary depending on the location and severity of the fracture, symptoms of an orbital facial fracture include: Tripod fracture: fracture of the cheek bone under the eye, combined with blowout fracture.Orbital rim fracture: often occur with extensive injuries to other facial bones and, in some cases, brain injury.This can occur after a motor vehicle accident, trauma with a sports ball such as a tennis ball or baseball, or a punch in the eye with a fist ![]() Orbital floor and/or nasal wall fracture (“blowout fracture”): occurs when the bony rim of the orbit remains intact, but the floor of the socket fractures.Types of orbital facial fractures include: Rarely fractures of the orbital roof or outside wall of the orbit can occur after severe trauma. A fracture (broken bone) can occur in the socket, and can involve the orbital rim, floor, and/or nasal wall. ![]() The rim of the orbit is comprised of thick bones, while the floor and nasal walls of the orbit are very thin. The orbit (eye socket) is the bony cavity that surrounds and protects the eye.
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