@article{ref1,
title="Mechanisms of orbital blowout fracture: a critical review of the literature",
journal="Nigerian postgraduate medical journal",
year="2008",
author="Adeyemo, Wasiu Lanre and Aribaba, O. T. and Ladehinde, A. L. and Ogunlewe, M. O.",
volume="15",
number="4",
pages="251-254",
abstract="OBJECTIVE: The aim of the present study is to critically review relevant literature regarding the mechanism of blowout fractures of the orbit and provide an answer to the question: Can one theory adequately explain the mechanism of orbital blowout fractures in the light of present day knowledge? MATERIALS AND METHODS: A computerised literature search using MEDLINE was conducted for published articles on orbital blowout fractures. Mesh phrases used in the search were: orbital blowout fractures AND mechanisms; orbital blowout fractures AND theory; orbital wall injury AND mechanisms. Only relevant articles were selected for the review. RESULTS: The physical mechanism of orbital blowout fracture has been a subject of debate for years by maxillofacial surgeons, ophthalmologists, plastic surgeons, otolaryngologists and orbitologists. However, only 3 mechanisms of injury have been proposed namely:&quot;hydraulic&quot;theory,&quot;globe-to-wall&quot;theory and&quot;bone conduction&quot;theory. Most of the theories of orbital blowout fractures have been confirmed through brilliant experiments and hypothetical explanation/analysis of clinical and radiologic findings, and each one appears to fit according to the different type of trauma received. CONCLUSIONS: Based on contemporary evidence, one theory may not adequately explain all types of fractures completely or be responsible exclusively in a given case for the pattern of fracture observed. Blowout fractures of the orbit could therefore be due to a combination of 2 or more mechanisms.<p /> <p>Language: en</p>",
language="en",
issn="1117-1936",
doi="",
url="http://dx.doi.org/"
}