The Importance of Clinical and Radiological Correlation in Pediatric Orbital Floor Fractures: Computed Tomography Imaging Findings and Clinical Outcomes
Background: Pediatric orbital floor fractures have different anatomical and physiological features, and controversy regarding their management and surgical intervention still exists. Therefore, this study aimed to reveal the clinical and radiological characteristics, management, and outcomes of chil...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Turkish Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/tjps.tjps_58_24 |
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| Summary: | Background:
Pediatric orbital floor fractures have different anatomical and physiological features, and controversy regarding their management and surgical intervention still exists. Therefore, this study aimed to reveal the clinical and radiological characteristics, management, and outcomes of children with orbital floor fractures to clarify operative indications, avoid complications, and examine ocular outcomes.
Materials and Methods:
A retrospective review was performed on 53 pediatric patients with orbital floor fractures over a 10-year period, and a computed tomography (CT)-based morphometric analysis of the fracture was performed.
Results:
Fifty-three pediatric patients with orbital floor fractures were included in this study. The mean patient age was 14.8 ± 2.6 years. Fourteen patients (26.4%) were treated surgically, and the most common indications were diplopia and extraocular movement (EOM) restrictions, followed by enophthalmos. There was a statistically significant difference in age between patients who underwent surgical intervention and those who were conservatively managed (12.4 years vs. 15.6 years; P = 0.007). At presentation, EOM restriction, diplopia, nausea, and vomiting were significantly associated with trapdoor fractures (P < 0.001). Patients who underwent surgical treatment had statistically greater fracture widths (11.2 mm vs. 6.7 mm; P < 0.001) and length (14.1 mm vs. 7.8 mm; P < 0.001) than conservatively followed patients.
Conclusion:
Nausea, vomiting, restricted extraocular motility, and diplopia are guiding clinical findings for trapdoor fractures, and should be assessed and correlated with CT imaging. Interdisciplinary collaboration, prompt diagnosis, and timely surgical intervention are essential to prevent persistent orbital dysfunction. |
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| ISSN: | 2528-8644 |