Journal List > J Korean Ophthalmol Soc > v.52(12) > 1008956

Park and Kim: Prognosis and Clinical Features of Orbital Wall Fracture in Preschool Children

Abstract

Purpose

To evaluate the clinical aspects associated with the preoperative and postoperative state of blowout fractures in preschool children.

Methods

The authors of the present study retrospectively reviewed 11 cases of blowout fracture repaired by orbital reconstruction.

Results

The most common cause of fracture was a traffic accident (45%); there were 7 cases (63%) of inferior wall fracture and 7 cases (63%) of trapdoor-type fracture. All patients with trapdoor-type fractures had nausea and vomiting. After the operation, the majority of patients (88%) had mild ocular motility restriction and diplopia.

Conclusions

In preschool children, systemic symptoms such as nausea and vomiting presented frequently. In addition, complications such as restriction in ocular movement and diplopia often developed postoperatively.

References

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Table 1.
Details of patients
Case no. Age/ sex Aetiology Time to operation (day) Fracture type Fracture location Nausea & vomiting Exophthalmos Diplopia Limitation
1 5/M Traffic accident   Nontrapdoor type Medial (linear) No 0 No 0.5
2 6/M Sports   Nontrapdoor type Medial (linear) No 0.5 No 0
3 6/M Fall down 3 Nontrapdoor type Medial (hinged) No 0 Moderate 0
4 4/M Traffic accident 6 Nontrapdoor type Medial & superior No 1 Moderate 0.75
5 6/F Traffic accident 5 Trapdoor type inferior Yes 0 Moderate 1.0
6 7/F Fall down   Trapdoor type inferior Yes 0.5 Severe 2.0
7 3/F Traffic accident 1 Trapdoor type inferior Yes 0.5 Moderate 0.5
8 3/F Fall down 5 Trapdoor type inferior Yes 0 Moderate 1.0
9 5/F Traffic accident 5 Trapdoor type inferior Yes 0 Moderate 1.0
10 7/M Assault 4 Trapdoor type inferior Yes 0 Moderate 1.0
11 7/M Fall down 9 Trapdoor type inferior Yes 0 Moderate 1.0
Table 2.
Patient characteristics
Mean age at presentation (yr) 5.36 ± 1.50
Age range (yr) 3-7
Sex, M/F (n [%]) 6 (55)/5 (45)
Mean time to operation (day) 4.75 ± 2.31
Time range to operation (day) 1-9
Mean time for followup (mon) 31.90 ± 27.75
Mean age at followup (yr) 8.06 ± 2.31

Values are presented as mean ± SD or number (%) unless otherwise indicated.

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