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KMID : 0360220110520121490
Journal of the Korean Ophthalmological Society
2011 Volume.52 No. 12 p.1490 ~ p.1495
Prognosis and Clinical Features of Orbital Wall Fracture in Preschool Children
Park Jung-Hyun

Kim Dae-Hyun
Abstract
Purpose: To evaluate the clinical aspects associated with the preoperative and postoperative state of blow-out fractures in preschool children.

Methods: The authors of the present study retrospectively reviewed 11 cases of blow-out fracture repaired by orbital reconstruction.

Results: The most common cause of fracture was a traffic accident (45%); there were 7 cases (63%) of inferior wall fracture and 7 cases (63%) of trapdoor-type fracture. All patients with trapdoor-type fractures had nausea and vomiting. After the operation, the majority of patients (88%) had mild ocular motility restriction and diplopia.

Conclusions: In preschool children, systemic symptoms such as nausea and vomiting presented frequently. In addition, complications such as restriction in ocular movement and diplopia often developed postoperatively.
KEYWORD
Blow-out fracture, Diplopia, Ocular motility restriction, Preschool child, Trapdoor-type fracture
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