Abstract：
OBJECTIVE:To evaluate the specific characteristics and management of internal orbital fractures in the pediatric population. DESIGN:Retrospective observational case series. PARTICIPANTS:Thirty-four pediatric patients between the ages of 1 and 18 years with internal orbital ("blowout") fractures. METHODS:Records of pediatric patients presenting with internal orbital fractures over a 5-year period were reviewed, including detailed preoperative and postoperative evaluations, surgical management, and medical management. MAIN OUTCOME MEASURES:Ocular motility restriction, enophthalmos, nausea and vomiting, and postoperative complications. RESULTS:Floor fractures were by far the most common fracture type (71%). Eleven of 34 patients required surgical intervention for ocular motility restriction. Eight were trapdoor-type fractures with soft-tissue incarceration; five had nausea and vomiting. Early surgical intervention (<2 weeks) resulted in a more complete return of ocular motility compared with the late intervention group. CONCLUSIONS:Trapdoor-type fractures, usually involving the orbital floor, are common in the pediatric age group. These fractures may be small with minimal soft-tissue incarceration, making the findings on computed tomography scans quite subtle at times. Marked motility restriction and nausea/vomiting should alert the physician to the possibility of a trapdoor-type fracture and the need for prompt surgical intervention.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Bansagi ZC,Meyer DRdoi
10.1016/s0161-6420(00)00015-4subject
Has Abstractpub_date
2000-05-01 00:00:00pages
829-36issue
5eissn
0161-6420issn
1549-4713pii
S0161-6420(00)00015-4journal_volume
107pub_type
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