Orbital trapdoor fractures: different clinical profiles between adult and paediatric patients

Takahashi, Yasuhiro; Sabundayo, Maria Suzanne; Miyazaki, Hidetaka; Mito, Hidenori; Kakizaki, Hirohiko

doi:10.1136/bjophthalmol-2017-310890

Cited by 29 publications

(30 citation statements)

References 23 publications

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“…Pojedyncza szczelina złamania przebiega poprzecznie albo podłużnie przez dno oczodołu. Wzdłuż przebiegu szczeliny dochodzi do uwięźnięcia tkanek bez powstania przepukliny oczodołowej [1,[19][20][21][22].…”

Section: Złamanie Typu En Clapet -Taką Postać Opisaliunclassified

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Medicolegal assessment in cases of zygomatico-maxillo-orbital fractures and isolated orbital floor fractures in criminal cases

Arkuszewski

Zielińska

Meissner

2019

amsik

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Cel pracy: Celem pracy była ocena częstości występowania skutków tożsamych ze średnim i ciężkim uszczerbkiem na zdrowiu w rozumieniu Kodeksu karnego (k.k.) u pacjentów ze złamaniem jarzmowo-szczękowo-oczodołowym (ZJSO) i złamaniem izolowanym dna oczodołu (ZIDO). Ponadto przeanalizowano możliwości wykorzystania przedstawionych wyników do opiniowania przypadków przestępstw z art. 158 i art. 160 k.k. pod kątem realności spowodowania takich obrażeń ciała oraz średniego i ciężkiego uszczerbku na zdrowiu. Materiał i metody: Badaniami objęto 124 pacjentów operowanych w ówczesnej Klinice Chirurgii Szczękowo-Twarzowej Akademii Medycznej w Łodzi w latach 1996-2001 z powodu złamań dolnej ściany oczodołu w przebiegu ZJSO (95 przypadków) i ZIDO (29 przypadków). Grupa ta została przedstawiona w sposób statystyczny i opisowy. Wyniki: U 100% pacjentów z oboma typami złamań dolnej ściany oczodołu występowały objawy i zaburzenia, które według k.k. stanowiłyby co najmniej średni, a może nawet ciężki uszczerbek na zdrowiu. Wnioski: Uderzenie lub kopnięcie w okolicę oczodołu stwarza realne niebezpieczeństwo spowodowania obu analizowanych złamań oczodołu i co najmniej średniego uszczerbku na zdrowiu.

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Section: Złamanie Typu En Clapet -Taką Postać Opisaliunclassified

“…A single fracture gap extends transversely or longitudinally across the orbital floor. Tissue lodging occurs along the gap, however no orbital hernia is observed [1,[19][20][21][22].…”

Section: Materiał I Metodymentioning

confidence: 99%

Medicolegal assessment in cases of zygomatico-maxillo-orbital fractures and isolated orbital floor fractures in criminal cases

Arkuszewski

Zielińska

Meissner

2019

amsik

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“…Diplopia is a common sign of orbital fracture, especially medial fracture pattern due to rectus muscle entrapment [13]. Infraorbital nerve hypoesthesia is a symptom of orbital fracture especially when the infraorbital rim is involved [14]. Subconjunctival hemorrhage and periorbital ecchymosis are useful signs of an underlying orbital fracture [15] (Figure 9).…”

Section: Signs and Symptomsmentioning

confidence: 99%

Maxillofacial Fractures: From Diagnosis to Treatment

Esmaeelinejad¹

2018

Trauma Surgery

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Oral and maxillofacial fractures are common injuries among multiple trauma patients. Mid-face fractures are considered serious medical problems rather than all other maxillofacial injuries due to their complexity of management. An appropriate treatment plan is essential to reconstruct the mid-face aperture esthetically and functionally. Favorable results are provided by interdisciplinary approaches and appropriate surgical treatments. The authors believe in that a complete and universal book about trauma surgery should contain a chapter about this issue which includes all aspects of mid-face fractures. So we aim to provide a comprehensive chapter about diagnosis and treatment of midface fractures which may be a complete and useful guideline for trauma surgeons.

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“…Orbital fractures often cause transient neurosensory disturbance of the infraorbital nerve (ION), and reported rates vary between 11% and 35% depending on the site and type of orbital fracture. [1][2][3] Retrospective studies have reported that long-term neurosensory disturbance persists in 9.3% -55% of patients who have had orbital operations. [2][3][4] At worst, chronic pain may develop in the ION, which can result in problems in daily life, clinical depression, and the need for antidepressant medication.…”

Section: Introductionmentioning

confidence: 99%

Neurosensory recovery after trauma to the orbital floor: a prospective trial with dexamethasone

Haapanen

Thorén

Apajalahti

et al. 2018

British Journal of Oral and Maxillofacial Surgery

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Our aims were to document the occurrence of neurosensory disturbances of the infraorbital nerve six months after operation for an orbital blow-out fracture, and to find out whether dexamethasone facilitates neurosensory regeneration. Patients were randomly assigned to one of two groups: the study group was given a total of dexamethasone 30mg, whereas the control group were given neither glucocorticoid nor placebo. Each patient's infraorbital neurosensory state was recorded preoperatively, immediately postoperatively, and six months later. A total of 18 patients were included, eight of whom had neurosensory disturbances six months after the initial trauma that was not affected by dexamethasone. Six of the seven patients who had a delay of seven days or more between trauma and operation had significantly prolonged disturbance at the 180-day clinical follow up compared with those in whom it was less than seven days (p=0.005). Other possible predictors made no significant difference. Although dexamethasone did not facilitate sensory recovery, its benefits in the management of pain and reduction of swelling may justify its use in the management of facial trauma in selected patients.

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Orbital trapdoor fractures: different clinical profiles between adult and paediatric patients

Cited by 29 publications

References 23 publications

Medicolegal assessment in cases of zygomatico-maxillo-orbital fractures and isolated orbital floor fractures in criminal cases

Medicolegal assessment in cases of zygomatico-maxillo-orbital fractures and isolated orbital floor fractures in criminal cases

Maxillofacial Fractures: From Diagnosis to Treatment

Neurosensory recovery after trauma to the orbital floor: a prospective trial with dexamethasone

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