Clinical Analysis of Internal Orbital Fractures in Children
Korean Journal of Ophthalmology
; : 44-49, 2003.
Article
in En
| WPRIM
| ID: wpr-213881
Responsible library:
WPRO
ABSTRACT
In order to describe the demographics, etiologic and clinical factors, and outcomes of orbital fractures in children, we have reviewed a case series of 17 patients under 18 years of age with internal orbital fractures (i.e., without involvement of the orbital rim) presenting to the Ghil hospital between March 2000 and June 2001. For 15 of the patients, we performed orbital wall reconstruction with Medpor (R) barrier sheet implantation (thickness 1mm) through transconjunctival approach under endoscopic guidance, while maintaining mere observation on the other 2 patients. There were 14 male and 3 female patients. The most common cause of fractures was accident (7 cases). Inferior wall involvement was most commonly seen, and the trapdoor type fracture was the most common. Thirteen patients had extraocular muscle restriction, 9 had nausea/vomiting and 5 had bradycardia. Diplopia of 9 patients disappeared after 43+/-23 days. Nausea/vomiting and bradycardia disappeared rapidly after surgical intervention in all cases. These results suggest that trapdoor fractures with soft tissue entrapment are the most common in pediatric orbital wall fractures, and that most of them are associated with nausea/vomiting. We suggest that early diagnosis, and prompt surgical intervention are required for those patients with oculocardiac reflex.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Orbit
/
Orbital Fractures
/
Ophthalmologic Surgical Procedures
/
Tomography, X-Ray Computed
/
Retrospective Studies
/
Surgery, Computer-Assisted
/
Endoscopy
Type of study:
Guideline
/
Observational_studies
/
Screening_studies
Limits:
Adolescent
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Adult
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Child
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Child, preschool
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Female
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Humans
/
Male
Language:
En
Journal:
Korean Journal of Ophthalmology
Year:
2003
Type:
Article