2020
DOI: 10.7181/acfs.2020.00409
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Surgical indication analysis according to bony defect size in pediatric orbital wall fractures

Abstract: Background: Orbital fractures are the most common pediatric facial fractures. Treatment is conservative due to the anatomical differences that make children more resilient to severe displacement or orbital volume change than adults. Although rarely, extensive fractures may result in enophthalmos, causing cosmetic problems. We aimed to establish criteria for extensive fractures that may result in enophthalmos. Methods: We retrospectively reviewed the charts of patients aged 0-15 years diagnosed with orbital fra… Show more

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Cited by 4 publications
(5 citation statements)
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“…5 This is especially true in patients under the age of 8, at which time orbital growth stabilizes. 19 For this reason, we suggest rib bone grafts as a biocompatible and sustainable method for operative repair of orbital fractures in young children. Rib grafting offers the benefits of an autogenous source including lack of host rejection, relative resistance to infection, incorporation into host bone and lack of extrusion concern.…”
Section: Discussionmentioning
confidence: 99%
“…5 This is especially true in patients under the age of 8, at which time orbital growth stabilizes. 19 For this reason, we suggest rib bone grafts as a biocompatible and sustainable method for operative repair of orbital fractures in young children. Rib grafting offers the benefits of an autogenous source including lack of host rejection, relative resistance to infection, incorporation into host bone and lack of extrusion concern.…”
Section: Discussionmentioning
confidence: 99%
“…Inferior orbital wall fractures are very common, and often caused by traffic accidents and sports in modern society [ 1 , 2 ]. In inferior orbital wall fractures, the treatment of choice is open reduction and internal fixation for improving ocular symptoms and maintaining facial symmetry [ 3 , 4 ].…”
Section: Introductionmentioning
confidence: 99%
“…Inferior orbital wall fractures are very common, and often caused by traffic accidents and sports in modern society [1,2].…”
Section: Introductionmentioning
confidence: 99%
“…Despite many studies examining the management of various isolated and combination orbital wall fractures, 10–12 an algorithm for treatment using ophthalmologic exam and CT findings has yet to be established for eyes in the setting of orbital fractures broadly. This study examines orbital fractures at a level I trauma center for clinical and imaging findings to guide patient stratification into conservative follow-up, medical treatment, and/or surgical management approaches.…”
mentioning
confidence: 99%
“…Complications of surgical interventionmost frequently, longstanding diplopia, persistent enophthalmos, ectropion and, most concerning, vision loss-underscore the importance of establishing consistent findings that warrant surgical intervention. 6 Despite many studies examining the management of various isolated and combination orbital wall fractures, [10][11][12] an algorithm for treatment using ophthalmologic exam and CT findings has yet to be established for eyes in the setting of orbital fractures broadly. This study examines orbital fractures at a level I trauma center for clinical and imaging findings to guide patient stratification into conservative follow-up, medical treatment, and/or surgical management approaches.…”
mentioning
confidence: 99%