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Profile of trauma-related residual periorbital deformities in Indian children
Neelam Pushker1, Mandeep S Bajaj, Vidushi Sharma
1Oculoplastic and Paediatric Ophthalmology Services, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India.
Insights
Periorbital trauma in Indian children under 10 often results from falls or assaults. These injuries can cause midfacial deformities, lacrimal drainage issues, and significant ocular damage.
Area of Science:
- Ophthalmology
- Pediatric Trauma
- Facial Injuries
Background:
- Periorbital trauma is a significant concern in pediatric populations.
- Understanding the specific patterns of these injuries in children is crucial for effective management.
Purpose of the Study:
- To characterize the profile of periorbital trauma in Indian children under 10 years of age.
- To identify common causes, injury types, and associated complications.
Main Methods:
- A retrospective evaluation of 32 children with periorbital injuries over one year.
- Data collected included demographics, injury mechanisms, and ophthalmic examinations.
- Imaging studies (X-ray, ultrasonography, CT scan) and follow-up up to 6 months post-surgery were utilized.
Main Results:
- The majority of injuries occurred in males (63%) aged 4-7 years (78%).
- Falls (31%) and assaults (28%) were the leading causes.
- Medial canthal injuries were most common, leading to lacrimal drainage obstruction and telecanthus.
- Naso-orbital fractures (22%) and ocular injuries (56%) were frequently observed.
- Lacrimal drainage procedures were the most common secondary intervention (75% of 20 patients).
Conclusions:
- Periorbital injuries in children can result in midfacial deformities and lacrimal drainage obstruction.
- These injuries are frequently associated with significant ocular damage, necessitating comprehensive evaluation and management.
Purpose:
To describe the profile of periorbital trauma in Indian children less than 10 years of age.
Methods:
Thirty two children with periorbital injuries were evaluated, over a period of 1 year. Demographic features, mechanism and type of injury were noted. Detailed ophthalmic examination and investigations, including X-ray, ultrasonography, and CT scan were done as needed. Patients requiring secondary intervention were followed-up up to 6 months after surgery.
Results:
Among the 32 children seen, 20 (63%) were males, 25 of 32 (78%) were between 4 and 7 years of age. Fall was the cause of injury in 31% (10/32) and assault in 28% (9/32). Medial canthal injury was the commonest of all periorbital injuries manifesting as lacrimal drainage obstruction and telecanthus. Associated fractures of the naso-orbital bones were present in 7 patients (22%) and ocular injuries were seen in 18 patients (56%). Secondary intervention was performed in 20 patients and lacrimal drainage procedure was the commonest surgery, performed in 15 out of 20 (75%).
Conclusion:
Periorbital injuries in children not only lead to midfacial deformities and lacrimal drainage obstruction but are associated with significant ocular damage also.
