Update on orbital floor fractures: indications and timing for repair. Orbital blow-out fractures: surgical timing and technique. Surgical timing in orbital fracture treatment: experience with 108 consecutive cases. Management of blow-out fractures of the orbital floor. Clinical recommendations for repair of isolated orbital fractures: an eveidence-based analysis. An investigation into the mechanism of orbital blowout fractures. Mechanisms of orbital floor fractures: a clinical, experimental and theoretical study. Warwar RE, Bullock JD, Ballal DR, Ballal RD. The differences of blowout fracture of the inferior orbital wall between children and adults. Linear nondisplaced orbital fractures with muscle entrapment. Clinical features and treatment of pediatric orbital fractures. Evaluation and management of pediatric orbital fractures in a primary care setting. Effect of time to operative intervention on motility outcomes following orbital flor fracture repair in children. Trapdoor fracture of the orbit in a pediatric population. Grant JH III, Patrinely JR, Weiss AH, et al. Intervention within days for some orbital floor fractures: the white-eyed blowout. Trapdoor orbital fractures (letter to editor). Trapdoor variety of blowout fracture of theorbital floor. Underestimation of soft tissue entrapment by computed tomography in orbital floor fractures in pediatric population. The value of magnetic resonance imaging in the diagnosis of orbital floor fractures. The missing muscle syndrome in blowout fractures: an indication for urgent surgery. Knowing the “mechanism of injury” gives you an idea of how serious the associated injuries may be. With a small accelerating object such as a bungee cord or hockey puck, there is often more direct globe trauma than with larger objects like a fist or soccer ball where some of the force is absorbed by the orbital rim and periorbital area. It is useful to know the size and shape of the object, as well as the force and velocity at which the object struck the eye. Determination of the mechanism of injury helps guide suspicion for injuries to the globe, eyelids, optic nerve, and adjacent ocular adnexal structures. Once life- and sight-threatening injuries have been addressed and the patient is medically stable, the oculoplastic surgical assessment should include a thorough medical and surgical history. A comprehensive ophthalmologic examination should be performed by an ophthalmologist. Stabilization of the airway and cardiopulmonary system is of utmost importance, particularly in the polytrauma patient. Initial assessment and management are guided by the severity and nature of the patient’s injuries. His one great achievement is being the father of three amazing children.An orbital floor fracture or “blowout fracture” is most often associated with midfacial trauma ranging from mild and seemingly insignificant to severe and debilitating. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of , the RAGE podcast, the Resuscitology course, and the SMACC conference. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.Īfter finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne.
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