Intervention Within Days for Some Orbital Floor Fractures

Jordan, David R.; Allen, L. H.; White, John; Harvey, Jack; Pashby, Robert C.; Esmaeli, Bita

doi:10.1097/00002341-199811000-00001

Cited by 292 publications

(208 citation statements)

References 0 publications

Supporting

Mentioning

197

Contrasting

Unclassified

Order By: Relevance

“…But, if the fracture size is small and the tissue is incarcerated minimally, radiological diagnosis can be missed (14,17). Therefore CT findings should be carefully evaluated and combined with additional clinical information before ruling out possibilities of fracture and entrapment in children (5).…”

Section: Discussionmentioning

confidence: 99%

Orbital Trapdoor Fracture in Children

2003

View full text Add to dashboard Cite

This study was performed to evaluate the clinical symptom, fracture finding, and surgical outcome in children with orbital trapdoor fracture. Forty-four patients with pure orbital trapdoor fracture, under 18 yr of age, were included. Time interval between injury and surgery, length of time for improvement, resolution of ocular motility restriction, and other factors were analyzed in 36 patients who underwent surgery. The median improvement time was 3.5 days for patients (n=8) receiving surgery within 5 days, 18.0 for those (n=19) receiving surgery between 6 and 14 days, and 50.0 for those (n=9) receiving surgery after 15 days (p=0.03). One month after operation, the mean change in supraduction limitation was 3.50 +/- 0.53 for patients receiving surgery within 5 days, 2.11 +/- 1.24 for those receiving surgery between 6 and 14 days, and 1.67 +/- 0.82 for those receiving surgery after 15 days (p=0.04). Three months after operation, the mean change in supraduction limitation was 3.88 +/- 0.35, 2.94 +/- 1.55, and 2.50 +/- 1.38, respectively (p=0.14). In conclusion, trapdoor fracture of the orbit in children must be diagnosed by careful CT evaluation and clinical evidence of entrapment. For patients with severe limitation of ocular motility, early surgery within 5 days of injury leads to more rapid and better postoperative improvement.

show abstract

Section: Discussionmentioning

confidence: 99%

Orbital Trapdoor Fracture in Children

2003

View full text Add to dashboard Cite

show abstract

“…[3][4][5] In this decade, it has been widely accepted that surgical intervention should be performed early in cases with "white-eyed" blowout fractures, severe oculocardiac reflex, and entrapped orbital contents. 6 Surgical procedures at a later stage cannot prevent ischemic damage and the formation of excess scar tissue causes postoperative complication.…”

mentioning

confidence: 99%

Linear-Type Orbital Floor Fracture With or Without Muscle Involvement

Yano

Suzuki

Yoshimoto

et al. 2010

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

The indications for surgical repair of the orbital blowout fracture are controversial. One reason may be case variation among fracture types. We therefore focused on linear-type blowout fractures in this study. The study included 22 consecutive cases of linear-type floor fractures. Demographics, clinical and CT findings, surgical timing, postoperative course, and outcome were evaluated. Surgery was performed in 14 cases for diplopia but not enophthalmos. Five cases with severe vertical diplopia were defined as "missing rectus" by CT findings. Residual diplopia remained in two cases with "missing rectus", while the other 20 cases completely recovered eye motility. In the 9 cases without muscle entrapment, diplopia disappeared within four weeks after operation. However recovery in cases with "missing rectus" took more than one month. Thus the CT finding with or without muscle involvement was crucial for linear-type blowout fractures. A comprehensive and timely decision based on clinical and radiological findings is indispensable for satisfactory management as well Linear-type Orbital Floor Fracture. 3 as postoperative rehabilitation.

show abstract

“…Orbita kırıklarına sıklıkla periorbital bölgede kesi, ödem-ekimoz ve subkonjuktival hemoraji eşlik etmesine rağmen Jordan tarafından tariflendiği şekilde sadece göz hareketlerinin etkilendiği ve beraberinde yumuşak doku travma bulgularının olmadığı orbita kırıkları da görülebilmektedir (4).…”

Section: Discussionunclassified

“…Muayene esnasında yumuşak doku travma bulguları ile birlikte göz hareketlerinin etkilenmesi genellikle uyarıcı olmaktadır. Bununla birlikte Jordan ve sonrasında Tse tarafından tarif edildiği gibi yumuşak doku travma bulguları olmadan da görülebileceği bildirilmiştir (4,5). Özellikle yoğunluk görülen acil servis şartlarında doğru tanı kolaylıkla gözden kaçabilmektedir (6).…”

Section: Introductionunclassified

Pediatrik Blow-Out Kiriklarinin Degerlendirilmesi

2016

GMJ

View full text Add to dashboard Cite

Intervention Within Days for Some Orbital Floor Fractures

Cited by 292 publications

References 0 publications

Orbital Trapdoor Fracture in Children

Orbital Trapdoor Fracture in Children

Linear-Type Orbital Floor Fracture With or Without Muscle Involvement

Pediatrik Blow-Out Kiriklarinin Degerlendirilmesi

Contact Info

Product

Resources

About