Pediatric orbital floor fractures

Different Onset Pattern of Oculocardiac Reflex in Pediatric Medial Wall Blowout Fractures

“…13 Jurdy and Malhotra 24 also reported that only 1 case of white-eyed medial wall blowout fracture exists in the literature that presented with OCR. Although the OCR may occur at any age, it is said to be more frequent in children and young adults.…”

“…The orbital floor is the most common fracture location with entrapment of inferior orbital contents and/or the inferior rectus muscle in a trapdoor fashion. 13 Other sites may also be fractured either simultaneous to the floor or in isolation 14 ; however, the reports regarding the children's medial blowout fracture are extremely rare. By reviewing the literatures, the number of such patients, especially those younger than 15 years, has been reported precisely as only 15 (Table 1).…”

Delayed surgical treatment of orbital trapdoor fracture in paediatric patients

“…Wei and Durairaj5  recommended a prompt surgery within 48 hours of diagnosis after a review of 25 articles about paediatric orbital trapdoor fracture with muscular entrapment. Chung and Langer2 reviewed the recent literature on paediatric orbital blowout fractures and recommended a surgery within 24 hours from the time of diagnosis.…”

Pediatrik Blow-Out Kiriklarinin Degerlendirilmesi

“…Orbita içindeki yumuşak dokuların kırık bölgesinde tuzaklanması ve traksiyona uğraması sonucu bradikardi, bulantı, kusma ve kardiyak arrestle sonuçlanabilen okülokardiyak refleksin tetiklenebileceği akılda tutulmalıdır (9)(10)(11). Orbita taban kırığına eşlik eden kafa travması nedeniyle bulantı ve kusması devam eden ve tomografide beyin travma bulguları da olan hastalarda tanı atlanabilmektedir.…”