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Pediatric Orbital Medial Wall Trapdoor Fracture with Normal Computed Tomography Findings
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논문 기본 정보

Type
Academic journal
Author
Lee, Hyun Rok (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) Jung, Gyu Yong (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine) Lee, Dong Lark (Department of Plastic and Reconstructive Surgery, Dongguk University College of Medicine)
Journal
대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제18권 제2호 SCOPUS
Published
2017.1
Pages
128 - 131 (4page)

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Pediatric Orbital Medial Wall Trapdoor Fracture with Normal Computed Tomography Findings
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With advances in diagnostic technology, radiologic diagnostic methods have been used more frequently, and physical examination may be neglected. The authors report a case of pediatric medial orbital trapdoor fracture in which the surgery was delayed because computed tomography (CT) findings did not indicate bone displacement, incarceration of rectus muscle, or soft tissue herniation. A healthy 6-year-old boy was admitted to the emergency room for right eyebrow laceration. We could not check eyeball movement or diplopia, because the patient was irritable. Thus, we performed facial CT under sedation, but there was normal CT finding. Seven days later, the patient visited our hospital due to persistent nausea and dizziness. We were able to perform a physical examination this time. Lateral gaze of right eye was limited. CT still did not show any findings suggestive of fracture, but we decided to perform exploratory surgery. We performed exploration, and found no bone displacement, but discovered entrapped soft tissue. We returned the soft tissue to its original position. The patient fully recovered six weeks later. To enable early detection and treatment, thorough physical examination and CT reading are especially needed when the patient shows poor compliance, and frequent follow-up observations are also necessary.
#Orbital fractures #Diplopia #Pediatrics

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