White-eyed blowout fracture

Prasad, Cheruvathur; Arulmozhi, M; Balaji, J.; Nisha, M P Nilopher

doi:10.4103/ams.ams_150_19

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…A strong impact to the orbital rim from an object, such as a ball, or another human will cause a direct compression or "buckling force" on the orbital floor and medial orbital wall [8,14], thereby resulting in fractures at the A2 or A4 sites. Trapdoor orbital fractures are also most commonly found in children due to the characteristic elasticity of pediatric orbital bones [9,15,16]. With age, bones become more brittle and, therefore, form comminuted fractures instead of snapping back [17].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Analysis of the Incidence of Pediatric Orbital Fractures Before and During the COVID-19 Pandemic in the Japanese Population

Someda,

Takahashi

2024

Cureus

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Introduction:The aim of this study is to compare data on the incidence of pediatric orbital fractures before the onset of the coronavirus disease 2019 (COVID-19) pandemic and during the period of the pandemic in the Japanese population. Methods: This retrospective, single-center, observational study including 225 patients (226 sides) aged ≤ 18 years old diagnosed with orbital fracture was conducted in our institution from March 2017 to April 2023. The study compared the incidence of pediatric orbital fractures in the pre-pandemic period from March 2017 to March 2020 and during the pandemic from April 2020 to April 2023.Results: The most common cause of injury was sports in both groups (137 sides, 60.6%), and the ratio of causes of injury (P = 0.610) or between outdoor and indoor sports (P = 1.000) was not statistically different between the groups. Although the daily rate of patient consults was lowest during the country's state of emergency with priority preventative measures, the difference between pre-pandemic and pandemic was not statistically significant (P = 0.911).Conclusion: Despite the restrictions mandated by the Japanese government during the COVID-19 pandemic, the physical activities of children did not significantly decline. Hence, the risk of pediatric orbital fractures remained the same.

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Section: Discussionmentioning

confidence: 99%

A Comparative Analysis of the Incidence of Pediatric Orbital Fractures Before and During the COVID-19 Pandemic in the Japanese Population

Someda,

Takahashi

2024

Cureus

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Combined Subciliary/Transantral Approach for Reconstruction of Orbital Floor Fracture

Narita

Ito

Kato

et al. 2021

JOHBM

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Orbital floor fracture, especially with constriction of orbital soft tissue, should be reconstructed surgically. Although various approaches to treat the orbital floor have been reported, procedures have not been unified among hospitals or surgeons. Since 2009, we have adopted a procedure combining a transorbital approach via subciliary incision with a transantral approach through upper gingival incision. The combined approach compensates for the shortcomings of each approach, leading to successful reconstruction. It is applicable safely for trapdoor fracture of the orbital floor in children, which more frequently constricts orbital soft tissue and which leaves permanent diplopia. This report retrospectively assessed clinical preoperative findings and postoperative outcomes of patients who received reconstruction of orbital floor fracture with the combined approach in our department from August 2009 through March 2021. Data of 21 patients with orbital floor fracture were analyzed, only one (4.8%) of whom had postoperative diplopia. Specifically, we describe children with trapdoor fracture treated with the combined approach, resulting in complete recovery. The combined approach stands as an excellent procedure for reconstruction of orbital floor fracture in adults and even in children.

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White-eyed blowout fracture: A 10 days delayed surgical intervention and outcomes: A case report

Kattur¹,

Balamurugan²

2021

Acta stomatologica Naissi

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The basis of the problem: Craniomaxillofacial trauma in pediatric group is less common with an incidence rate of 15% and the most commonly involved site is the fracture of orbital floor. Blow out fractures can either be pure or impure with trauma being the most predominant etiology. Method: Our case report present a 15 year old patient with a diagnosis of white eye blow out fracture reported ten days post trauma. The case was surgically dealt by releasing the entrapped inferior rectus muscle and placement of titanium mesh in the orbital floor with a postoperative follow up period of 6 months. Results: In the present report, although the eye movements i were evident without any restriction, the authors were unable to achieve a full range of eye movements due to delayed surgical intervention. Conclusion: Inferior rectus muscle entrapment is the most common entity encountered in cases of white eye blow out fractures, due to its close proximity with the orbital floor and lack of periodontal fat. Early diagnosis and immediate surgical intervention would bring about a best positive outcome in the management of white eye blow out fractures.

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White-eyed blowout fracture

Cited by 3 publications

References 13 publications

A Comparative Analysis of the Incidence of Pediatric Orbital Fractures Before and During the COVID-19 Pandemic in the Japanese Population

A Comparative Analysis of the Incidence of Pediatric Orbital Fractures Before and During the COVID-19 Pandemic in the Japanese Population

Combined Subciliary/Transantral Approach for Reconstruction of Orbital Floor Fracture

White-eyed blowout fracture: A 10 days delayed surgical intervention and outcomes: A case report

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