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Orbital fractures in children
M P Hatton1, L M Watkins, P A Rubin
1Massachusetts Eye and Ear Infirmary, Boston, Massachusetts 02114, USA.
Ophthalmic Plastic and Reconstructive Surgery
|June 5, 2001
Summary
Pediatric orbital fractures, often caused by sports or accidents, commonly affect the orbital floor and medial wall. Comprehensive ophthalmic evaluation is crucial due to frequent associated ocular injuries.
Area of Science:
- Ophthalmology
- Pediatric Traumatology
- Facial Surgery
Background:
- Orbital fractures are complex injuries requiring specific management in pediatric populations.
- Understanding the unique characteristics of pediatric orbital fractures is essential for optimal patient care.
Purpose of the Study:
- To detail the demographics, causes, clinical features, and outcomes of orbital fractures in children.
- To identify common fracture locations and surgical indications in pediatric orbital trauma.
Main Methods:
- Retrospective case series of 96 pediatric patients (<18 years) with orbital fractures.
- Inclusion of both hospitalized and non-hospitalized patients presenting to a major ophthalmology center.
Main Results:
- Most frequent etiologies included sports injuries, assaults, and motor vehicle accidents.
- Medial wall and orbital floor fractures were most common; surgery was often required for entrapment.
- Half of the patients had associated ocular injuries, highlighting the need for thorough eye examinations.
Conclusions:
- Pediatric orbital fracture patterns (floor and medial wall) resemble those in adults.
- Orbital fractures in children frequently necessitate surgical intervention.
- The high incidence of ocular injuries underscores the critical importance of comprehensive ophthalmic assessment in pediatric orbital trauma.