Medial wall blow out fractures in children

Anderson, Peter J.; David, David John

doi:10.1016/j.ajoms.2010.02.004

Cited by 5 publications

(7 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The application of 3D MDCT in the management of suspected facial trauma cases has led to the realization that ‘rare’ orbital injuries occur more commonly than previously recognized . Fractures of the medial wall and floor of the orbit can result in herniation of the orbital soft tissues into the paranasal sinuses, leading to orbital infection from nasal bacteria.…”

Section: Introductionmentioning

confidence: 99%

“…As the paranasal sinuses attain skeletal maturity at different ages, their healing response also varies according to the patient's age. For example, the ethmoidal sinus attains skeletal maturity at two years of age compared to 12 years of age for the maxillary sinus, hence the ethmoidal sinus displays an adult fracture pattern (i.e. reduced remodelling) earlier than maxillary sinus.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Application of three‐dimensional computed tomography in craniofacial clinical practice and research

Anderson

Yong

Surman

et al. 2014

Australian Dental Journal

View full text Add to dashboard Cite

Following the invention of the first computed tomography (CT) scanner in the early 1970s, many innovations in threedimensional (3D) diagnostic imaging technology have occurred, leading to a wide range of applications in craniofacial clinical practice and research. Three-dimensional image analysis provides superior and more detailed information compared with conventional plain two-dimensional (2D) radiography, with the added benefit of 3D printing for preoperative treatment planning and regenerative therapy. Current state-of-the-art multidetector CT (MDCT), also known as medical CT, has an important role in the diagnosis and management of craniofacial injuries and pathology. Three-dimensional cone beam CT (CBCT), pioneered in the 1990s, is gaining increasing popularity in dental and craniofacial clinical practice because of its faster image acquisition at a lower radiation dose, but sound guidelines are needed to ensure its optimal clinical use. Recent innovations in micro-computed tomography (micro-CT) have revolutionized craniofacial biology research by enabling higher resolution scanning of teeth beyond the capabilities of MDCT and CBCT, presenting new prospects for translational clinical research. Even after four decades of refinement, CT technology continues to advance and broaden the horizons of craniofacial clinical practice and phenomics research.Keywords: Multidetector CT, cone beam CT, micro-CT, dentistry, teeth.Abbreviations and acronyms: 2D = two-dimensional; 3D = three-dimensional; CBCT = cone beam computed tomography; CLP = cleft lip and palate; CT = computed tomography; DEJ = dentino-enamel junction; FGFR2 = fibroblast growth factor receptor 2; micro-CT = micro-computed tomography; MDCT = multidetector computed tomography; MRI = magnetic resonance imaging; nano-CT = nanocomputed tomography; OPG = orthopantomograph; PET = positron emission tomography.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Application of three‐dimensional computed tomography in craniofacial clinical practice and research

Anderson

Yong

Surman

et al. 2014

Australian Dental Journal

View full text Add to dashboard Cite

show abstract

“…As previously suggested by Anderson et al, fractures of the medial wall are more common than we may have been led to believe. 14 The presence of ethmoidal air cells at birth and their continuous pneumatisation and expansion throughout childhood could explain the pattern we see here. Interestingly, fractures of the lateral wall were more common in younger children.…”

Section: Discussionmentioning

confidence: 77%

“…[4][5][6][7][8] Several studies have reported a high incidence of fractures of the orbital roof in young children. 3,9,10,[12][13][14][15] There are two major reasons for this: first, the relatively large and prominent cranium in a young child is more prone to trauma than that of the adult. 3,5,14 In addition, frontal sinuses are absent at birth and begin to develop only around 2 years of age.…”

Section: Discussionmentioning

confidence: 98%

“…3,9,10,[12][13][14][15] There are two major reasons for this: first, the relatively large and prominent cranium in a young child is more prone to trauma than that of the adult. 3,5,14 In addition, frontal sinuses are absent at birth and begin to develop only around 2 years of age. 5 They first become radiographically visible at about 8 years of age, and reach adult size at about 12 years of age.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Orbital fractures in children: 10 years’ experience from a tertiary centre

Sirichai

Anderson

2015

British Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Isolated paediatric orbital fractures: a case series and review of management at a major trauma centre in the UK

Harrison

Hafeji

Green

et al. 2022

Oral Maxillofac Surg

View full text Add to dashboard Cite

Purpose Paediatric orbital fractures are rare. Existing literature demonstrates wide variation in estimates of incidence, aetiology, management protocols and outcomes. Despite this, it is generally acknowledged that orbital fractures with entrapment of the extraocular muscles constitute a surgical emergency due to the potential for persistent diplopia secondary to muscle ischaemia and necrosis. Methods This retrospective study was conducted to determine the characteristics and outcomes of management of orbital fractures amongst the paediatric population. It involved patients presenting to a major trauma unit in London between 2010 and 2020. Results Thirteen patients with isolated orbital fractures presented to our unit in this period. The average age was 13 years. Surprisingly the predominant aetiology was interpersonal violence. The most common fracture pattern involved the orbital floor and medial wall. One medial wall fracture case was missed in the emergency department. Eight patients required surgical intervention due to diplopia caused by muscular entrapment of extraocular muscles; the final patient had a large defect resulting in enophthalmos requiring a large titanium plate. A transconjuctival approach was preferred for surgical access and resorbable sheet was used in the remaining cases. Five patients had nausea, vomiting or bradycardia associated with the oculocardiac reflex. Surgical intervention occurred within 24–48 h of injury in 6 cases. Resolution of diplopia occurred in 7 patients within 6 months. Conclusion Paediatric patients with orbital fractures should be assessed on the day of injury by a maxillofacial surgeon. Due to the risk of persistent diplopia, urgent surgical intervention in patients with entrapment of extraocular muscles should occur as soon as possible.

show abstract

Medial wall blow out fractures in children

Cited by 5 publications

References 10 publications

Application of three‐dimensional computed tomography in craniofacial clinical practice and research

Application of three‐dimensional computed tomography in craniofacial clinical practice and research

Orbital fractures in children: 10 years’ experience from a tertiary centre

Isolated paediatric orbital fractures: a case series and review of management at a major trauma centre in the UK

Contact Info

Product

Resources

About