Extraocular muscle entrapment in a nondisplaced orbital fracture, although a well-known entity in pediatric trauma, is atypical in adults. It can present with a triad of bradycardia, nausea, and in rare cases, syncope, and result in severe fibrosis of damaged and incarcerated muscle. We present a case of muscle entrapment in a partially nondisplaced two-wall orbital fracture with accompanying preoperative bradycardia and intraoperative asystole in an adult
JordanDRAllenLHWhiteJHarveyJPashbyREsmaeliBIntervention within days for some orbital floor fractures: the white-eyed blowoutOphthal Plast Reconstr Surg1998146379–390
2.
de ManKWijngaardeRHesJde JongPTInfluence of age on the management of blow-out fractures of the orbital floorInt J Oral Maxillofac Surg1991206330–336
3.
de PollakCArnaudERenierDMariePJAge-related changes in bone formation, osteoblastic cell proliferation, and differentiation during postnatal osteogenesis in human calvariaJ Cell Biochem1997641128–139
4.
SollDBPoleyBJTrapdoor Variety of Blowout Fracture of the Orbital FloorAm J Ophthalmol196560269–272
5.
KumCMcCulleyTJYoonMKHwangTNAdult orbital trapdoor fractureOphthal Plast Reconstr Surg2009256486–487
6.
ParbhuKCGallerKELiCMawnLAUnderestimation of soft tissue entrapment by computed tomography in orbital floor fractures in the pediatric populationOphthalmology200811591620–1625
7.
TurkoATalbotSPomahacBMedial orbital wall fracture with associated medial rectus entrapment and retrobulbar hematomaPlast Reconstr Surg20091233108e–109e
8.
BrannanPAKerstenRCKulwinDRIsolated medial orbital wall fractures with medial rectus muscle incarcerationOphthal Plast Reconstr Surg2006223178–183
9.
SiresBSStanleyRBJrLevineLMOculocardiac reflex caused by orbital floor trapdoor fracture: an indication for urgent repairArch Ophthalmol19981167955–956
10.
KakizakiHZakoMKatoriNIwakiMAdult medial orbital wall trapdoor fracture with missing medial rectus muscleOrbit200625161–63
11.
BurnstineMAClinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysisOphthalmology200210971207–1210, discussion 1210–1211, quiz 1212–1213
12.
KimBBQaqishCFrangosJCaccameseJFJrOculocardiac reflex induced by an orbital floor fracture: report of a case and review of the literatureJ Oral Maxillofac Surg201270112614–2619
13.
MendelblattFIKirschRELembergLA study comparing methods of preventing the oculocardiac reflexAm J Ophthalmol196253506–512
14.
LübbersHTZweifelDGrätzKWKruseAClassification of potential risk factors for trigeminocardiac reflex in craniomaxillofacial surgeryJ Oral Maxillofac Surg20106861317–1321
15.
ArndtGAStockMCBradycardia during cold ocular irrigation under general anaesthesia: an example of the diving reflexCan J Anaesth1993406511–514
16.
YilmazTErolFSYakarHKöhleUAkbulutMFaik OzverenMDelayed trigeminocardiac reflex induced by an intraorbital foreign body. Case reportOphthalmologica2006220165–68
17.
AllisonCEDe LangeJJKooleFDZuurmondWWRosHHvan SchagenNTA comparison of the incidence of the oculocardiac and oculorespiratory reflexes during sevoflurane or halothane anesthesia for strabismus surgery in childrenAnesth Analg2000902306–310
18.
GerbinoGRocciaFBianchiFAZavatteroESurgical management of orbital trapdoor fracture in a pediatric populationJ Oral Maxillofac Surg20106861310–1316
19.
KimNHKangSJCorrelation between the Time to Surgery and That to Recovery from Postoperative Diplopia Based on a Single-Center, Retrospective Experience: A Case Series of 11 PatientsArch Plast Surg2014415486–492