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KMID : 1100620170040010032
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Clinical and Experimental Emergency Medicine
2017 Volume.4 No. 1 p.32 ~ p.37
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Characteristics of orbital wall fractures in preschool and school-aged children
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Yang Dong-Jin
Kim Youn-Jung
Seo Dong-Woo
Lee Hyung-Joo
Park In-June
Sohn Chang-Hwan
Ryoo Jung-Min
Lee Jong-Seung
Kim Won-Young
Lim Kyoung-Soo
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Abstract
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Objective: This study aimed to evaluate the injury patterns in pediatric patients with an orbital wall fracture (OWF) and to identify the differences in injury patterns between preschool and school-aged patients with OWF who presented to the emergency department.
Methods: We performed a retrospective observational study in the emergency department of a tertiary hospital between January 2004 and March 2014. A total of 177 pediatric patients (<18 years) with OWF who underwent facial bone computed tomography scans with specific discharge codes were included. Patients were categorized into preschool (≤7 years) and school-aged (>7 years) pediatric groups.
Results: The inferior wall was the most common fracture site in both the preschool and school-aged pediatric groups (50.0% vs. 64.4%, P=0.15). The male-to-female ratio and the mechanism of injury showed significant differences between the two age groups. Violence was the most common mechanism of injury in the school-aged pediatric group (49.3%), whereas falls from a height caused OWF in approximately half of the patients in the preschool pediatric group (42.9%). Concomitant injuries and facial fractures had a tendency to occur more frequently in the school-aged pediatric group.
Conclusion: Significant differences according to the sex and mechanisms of injury were identified in preschool and school-aged pediatric patients with OWF.
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KEYWORD
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Orbital fractures, Pediatric, Facial injuries, Computed tomography, Emergency medical services
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