The authors present 2 @entity1 with greater sphenoid wing fractures that were treated surgically. This type of @entity174 is classified as a blow-in @entity174 of the lateral orbital wall. The first @entity1 was a 16-year-old @entity1 who was involved in a motor vehicle accident. Computed tomography (CT) disclosed a medial displacement of the inner wall of the greater sphenoid wing of the left orbit. He was unconscious for 3 days. After he recovered consciousness, he presented limited abduction of the left eye with @entity892 in all gaze directions and mild left proptosis. Although these symptoms did not improve for 1 week, displaced bone fragments of the greater sphenoid wing were removed via the lateral orbital approach. The @entity1 had a good postoperative course with progressive @entity1319 over the next several weeks. The second @entity1 was a 22-year-old @entity1 whose face was hit in a fight. CT disclosed medial displacement of the inner wall of the greater sphenoid wing of the left orbit. Although the @entity1 also presented limited abduction of the left eye on admission, this symptom improved gradually. However, @entity892 in all gaze directions and mild left proptosis did not improve. Therefore, the displaced inner wall of the greater sphenoid wing was reduced via the lateral orbital approach. The @entity1 showed a good postoperative course with progressive improvement over the next several weeks. This type of @entity8924 , which is classified as an orbital blow-in @entity174 , is relatively rare. This type of greater sphenoid wing @entity174 is caused by buckling of the orbital wall secondary to severe compression of the orbital rim. Surgical treatment using the lateral orbital approach through a hemicoronal skin incision afforded a wider operative field and better cosmetic result.

Surgical treatment for greater sphenoid wing @entity174 (orbital blow-in XXXX ).

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'boy', 'man'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity8924 :: ('MESH:D009917', 'Disease') :: ['orbital fracture'] @entity892 :: ('MESH:D004172', 'Disease') :: ['diplopia'] @entity1319 :: ('MESH:D015835', 'Disease') :: ['improvement in eye movement']
@entity174 :: (MESH:D050723,Disease) :: ['fracture']
