[Fractures of the orbit floor]. 2000

B San Vicente, and F J Parri, and M A Sancho, and L Morales
Servicio de Cirugía Pediátrica, Unitat Integrada Hospital Sant Joan de Déu-Hospital Clínic, Universitat de Barcelona, Barcelona.

Fractures of the floor are not common during childhood, their main cause being trauma. The mechanism is an increased pressure in the orbital cavity, which breaks at is weakest point, the floor, where soft tissue may be trapped- periorbitary fat, inferior rectus muscle, and inferior oblique muscle. Symptoms are diplopia, enoftalmos, eyelid ptosis and soft tissue haematoma. The diagnosis is made on the clinical and imaging findings, CT-Scan being the most reliable technique. Surgical treatment is necessary when symptoms do not subside and when the muscles or the infraorbitary nerve are compromised. We present four cases of orbit floor fracture which were completely resolved with conservative management (2 cases) or with surgical release of the muscular structures and orbit floor reconstruction (2 cases).

UI MeSH Term Description Entries
D008297 Male Males
D009917 Orbital Fractures Fractures of the bones in the orbit, which include parts of the frontal, ethmoidal, lacrimal, and sphenoid bones and the maxilla and zygoma. Blow Out Fracture,Blow-Out Fractures,Fractures, Blow-Out,Orbital Fracture,Blow Out Fractures,Blow-Out Fracture,Fracture, Blow Out,Fracture, Blow-Out,Fracture, Orbital,Fractures, Blow Out,Fractures, Orbital,Out Fracture, Blow,Out Fractures, Blow
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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