Paediatric Orbital Floor Fracture

Pediatric orbital floor fracture. The most characteristic orbital blowout fracture in children although it is relatively uncommon among pediatric facial fractures is the so called trapdoor fracture 16 17. This is a green stick fracture in which a bone fragment protrudes into the sinus while remaining stably attached by a hinge of mucoperiosteum to the intact part.

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Orbital fracutres are generally caused by either assault sports or accidents.

Paediatric orbital floor fracture. Orbital injuries warranting surgical intervention are infrequent in the paediatric population but blowout trap door fractures are unique in children and may constitute a relative surgical emergency. Clinically the child will be unable to complete upwards gaze. In summary pediatric orbital floor fractures are rare in very young children becoming more frequent after the age of 7 years. Chiang e saadat lv spitz ja et al.

Correlation of preoperative computed tomography and postoperative ocular motility in orbital blowout fractures. Wei la 1 durairaj vd. Children presenting with floor or medial wall fractures are at high risk of entrapment as paediatric bones are more prone to greenstick fracture which then creates a trapdoor effect ensnaring the inferior oblique and inferior rectus muscles or other orbital contents. The blowout fracture is the most common type of orbital fracture and is usually the result of trauma.

Pediatric orbital floor fractures. Pediatric orbital floor fractures can present differently than adult orbital floor fractures and can have adverse long term consequences if not recognized and dealt with appropriately. Etiology of orbital fractures at a level i trauma center in a large metropolitan city. Harris gj garcia gh logani sc murphy ml.

A retrospective review of isolated orbital floor fractures at the royal children s hospital of melbourne over a 10 year period was undertaken to evaluate the outcome of those patients who. 1 department of ophthalmology university of colorado school of medicine denver colorado usa. It is more prevalent in young men. Clinically low velocity but high force crush injuries are the most common cause of orbital floor fractures in children.

Because the presentation of the injury is usually more subtle in children a high index of suspicion is needed to make the diagnosis particularly when diplopia accompanies a suggestive history of mechanism. This is reflected in the demographics. To summarize the unique aspects of orbital floor fractures in children with regard to clinical presentation management and outcomes. Direct extraocular muscle involvement.

8 they are often related to sports. Orbital blowout fractures are usually the result of a direct blow to the orbit which causes a sudden increase in intraorbital pressure.