White-eyed blowout fracture: Diagnostic pitfalls and review of literature

Yew, Ching Ching; Shaari, Ramizu; Rahman, Syed Abidur; Alam, Mohammad Khursheed

doi:10.1016/j.injury.2015.04.025

Cited by 18 publications

(16 citation statements)

References 17 publications

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“…They found that inferior rectus muscle approximation to the orbital floor makes the muscle susceptible to injuries and mechanically weaken the superior oblique muscle. [ 3 6 8 ]…”

Section: Discussionmentioning

confidence: 99%

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White-eyed blowout fracture

Prasad

Arulmozhi

Balaji

et al. 2020

Ann Maxillofac Surg

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White-eyed blowout fracture is often found in pure orbital floor blowout fracture among pediatric patients. Unlike common orbital blowout fractures with apparent clinical signs, the diagnosis of white-eyed orbital blowout fractures is difficult because of minimal soft-tissue signs. This report describes an early missed-out diagnosis of a white-eyed blowout fracture in a 7-year-old child, due to negligible soft-tissue manifestation.

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“…They found that inferior rectus muscle approximation to the orbital floor makes the muscle susceptible to injuries and mechanically weaken the superior oblique muscle. [ 3 6 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 11 ] The recovery period ranges from 25 days to 18 months with longer recovery time in younger age (<9 years). [ 8 12 13 ] We achieved the full range of movements at 6 months [Figures 4 and 5 ].…”

Section: Discussionmentioning

confidence: 99%

White-eyed blowout fracture

Prasad

Arulmozhi

Balaji

et al. 2020

Ann Maxillofac Surg

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“…It is common for pediatric patients with blowout fractures to present with nausea and vomiting. Yew et al reported a case of WEBOF in which the boy vomited twice after the injury [6]. Mehanna et al reported three cases of WEBOF that all presented with symptoms of nausea [9].…”

Section: Reviewmentioning

confidence: 99%

The ‘White-eyed’ Orbital Blowout Fracture: An Easily Overlooked Injury in Maxillofacial Trauma

Saggese

Mohammadi

Cardo

2019

Cureus

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The ‘white-eyed’ blowout fracture (WEBOF) is an injury that is often overlooked in head trauma patients, as it often has few overt clinical and radiographic features. Although benign in appearance, it can lead to significant patient morbidity. Here, we intend to increase the awareness of WEBOF and provide general principles for its diagnosis. WEBOF should be recognized early to ensure timely management and a successful outcome.

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“… 1 Clinicians have described the trapdoor fracture as a “white-eyed blowout” because of a paucity of physical examination abnormalities. 2 Further complicating diagnosis, the injury may be radiographically occult on orbital computed tomography (CT). 3 Trapdoor fractures are important for the emergency physician to identify because urgent surgical repair is recommended to reduce morbidity.…”

Section: Introductionmentioning

confidence: 99%