Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
BLACK FRIDAY SAVE 30%Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
BLACK FRIDAY SAVE 30%Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Orbital Imaging Protocols
4 topics, 10 min.
Lesson
Orbit Anatomy
10 topics, 19 min.
Lesson
Case Review - Ocular Pathology
17 topics, 1 hr. 11 min.
Anterior Globe Rupture with Laterally Dislocated Cataract
4 m.Foreign Body in Globe
4 m.Wood Foreign Body and Ocular Hypotony
2 m.Hemmorhage in Both Chambers, Open Globe
3 m.Staphyloma
4 m.Persistent Hyperplastic Primary Vitreous (PHPV)
5 m.Retinal Detachment
3 m.Retinoblastoma on CT
4 m.Retinoblastoma on MRI
9 m.Bilateral Retinoblastoma
7 m.Ocular Pathology - Review
11 m.Endophthalmitis
3 m.PHPV Review, Coloboma, and Staphyloma
5 m.Phthisis Bulbi, Macrophthalmia, and Microphthalmia
4 m.Ocular Calcification
4 m.Retinoblastoma - Review
5 m.Choroidal Melanoma
3 m.Lesson
Case Review - Intraconal Pathology
15 topics, 1 hr. 8 min.
Intraconal, Conal and Extraconal Anatomy
1 m.Intraconal Hemangioma
5 m.Venous Vascular Malformation
3 m.Optic Nerve Glioma, NF1
4 m.Optic pathway glioma (pilocytic astrocytoma)
4 m.Optic Neuritis, Multiple Sclerosis
6 m.Optic Neuritis, Multiple Sclerosis (2)
7 m.Neuromyelitis Optica Spectrum Disorder
5 m.Neuromyelitis Optica With Spinal Cord Involvement
3 m.Optic Nerve Sheath Meningioma
5 m.Bilateral Optic Neuritis, Leukemia
6 m.Intraconal Pathology - Review
11 m.Optic Neuritis - Review
5 m.Optic Nerve Glioma - Review
4 m.Optic Nerve Sheath Meningioma - Review
6 m.Lesson
Case Review - Conal Lesions
5 topics, 16 min.
Lesson
Case Review - Extraconal Injuries and Abnormalities
18 topics, 55 min.
Extraconal Pathology - Introduction
1 m.Periorbital Cellulitis & Abscess
4 m.Type 3 Orbital Infection
3 m.Solitary Fibrous Tumor
4 m.Langerhans Cell Histiocytosis
2 m.Juvenile Ossifying Fibroma
2 m.Perineural Spread of Squamous Cell Carcinoma
5 m.Proptosis from Extraosseous Extension of Prostate Metastasis
3 m.Orbital Floor Fracture
5 m.Orbital Floor Fracture with Muscle/Fat Herniation
4 m.Orbital Floor Fracture: Status Post Repair
2 m.Bilateral Orbital Fracture Repair
2 m.Periorbital Cellulitis - Review
5 m.Orbital Pseudotumor - Review
3 m.Orbital Wall Abnormalities - Review
3 m.Orbital Fracture - Review
7 m.Giant Cell Reparative Granuloma
3 m.Granulomatous Sinusitis with IgG4-related Ophthalmic Disease
4 m.Lesson
Case Review - Orbital Appendage Pathology
6 topics, 19 min.
0:01
This is a second case after repair of orbital fractures.
0:05
In this case,
0:06
one sees that the patient has had bilateral fractures of the orbital
0:12
floor with their communication to the medial orbital wall.
0:17
Once again,
0:19
the approximation of the mesh to the orbital floor need not be exact.
0:26
Sometimes, one can see the fracture repair extend
0:31
upward along the medial orbital wall
0:34
if the fracture has extended along the lamina papyracea,
0:39
so these would be extending both to repair the orbital floor ,
0:44
as well as the medial orbital wall in a continuous fashion.
0:48
The main thing that you do want to see, with regard to the repair, is that
0:52
the mesh that's laid in crosses the plane of the fracture itself.
0:58
So, it goes across the entire extent of the fracture.
1:02
Complications of the repair include continuous herniation
1:07
of either fat or muscle through the orbital floor or medial orbital wall
1:14
or orbital hematoma.
1:16
Therefore, in addition to the bone windows,
1:18
it's important to continue to look at the soft
1:22
tissue windows and observe the absence of hemorrhage
1:26
in the retrobulbar compartment or intraconal space,
1:29
or extraconal space.
1:31
In this case, the repair is outstanding.
Bilateral Orbital Fracture Repair
HIDEInteractive Transcript
0:01
This is a second case after repair of orbital fractures.
0:05
In this case,
0:06
one sees that the patient has had bilateral fractures of the orbital
0:12
floor with their communication to the medial orbital wall.
0:17
Once again,
0:19
the approximation of the mesh to the orbital floor need not be exact.
0:26
Sometimes, one can see the fracture repair extend
0:31
upward along the medial orbital wall
0:34
if the fracture has extended along the lamina papyracea,
0:39
so these would be extending both to repair the orbital floor ,
0:44
as well as the medial orbital wall in a continuous fashion.
0:48
The main thing that you do want to see, with regard to the repair, is that
0:52
the mesh that's laid in crosses the plane of the fracture itself.
0:58
So, it goes across the entire extent of the fracture.
1:02
Complications of the repair include continuous herniation
1:07
of either fat or muscle through the orbital floor or medial orbital wall
1:14
or orbital hematoma.
1:16
Therefore, in addition to the bone windows,
1:18
it's important to continue to look at the soft
1:22
tissue windows and observe the absence of hemorrhage
1:26
in the retrobulbar compartment or intraconal space,
1:29
or extraconal space.
1:31
In this case, the repair is outstanding.
Report
Description
Faculty
David M Yousem, MD, MBA
Professor of Radiology, Vice Chairman and Associate Dean
Johns Hopkins University
Tags
Trauma
Orbit
Neuroradiology
Neuro
Head and Neck
CT
© 2024 Medality. All Rights Reserved.