PMC8663747_01
(A) Nonenhanced brain CT scan at admission. Bone view showing fracture of the lateral wall of the left orbit (white arrow), with a small area of haemorrhage in the left anterior temporal fossa. (B) Bony spur that was removed from lateral rectus muscle.
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F1
A bony spur from the lateral wall was noted close to the left lateral rectus muscle (Figure 1A). After two weeks, the maxillofacial team removed the bony spur impinging on the lateral rectus muscle (Figure 1B) and reconstructed the orbital wall.
Hess chart demonstrating left abducens nerve palsy with overaction of medial rectus muscle. (A) Immediately after surgery and 1 month after presentation. (B) 1 month after surgery.
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F2
Following this second intervention and three months since onset, the patient showed a slow but marked improvement in abduction (Figure 2B).