PDF(Pubmed)
Abstract：
Orbital fractures in the pediatric population are rare. A trapdoor fracture is a special anatomic type of orbital fracture associated with herniation of orbital contents and entrapment of extraocular muscles entrapment with no signs of any soft tissue trauma. A delay in diagnosis can lead to a life-threatening condition known as oculocardiac reflex, characterized by nausea, vomiting, bradycardia, and syncope. Many authors recommend early surgical intervention, but some patients may delay for various reasons. We hereby represent three cases of orbital fracture to prevent long-term persistent diplopia. Depending on the case scenario, two cases were operated on in which an autogenous iliac cortical graft was placed in one patient to prevent postoperative herniation of orbital content, and in one patient, only release of entrapped muscles was done. One patient was managed conservatively with a regular follow-up visit.
摘要：
小儿人群中的眼眶骨折很少见。活板门骨折是一种特殊的解剖学类型的眼眶骨折，与眼眶内容物突出和眼外肌压迫有关，没有任何软组织创伤的迹象。诊断延迟会导致一种威胁生命的疾病，称为眼心反射，以恶心为特征，呕吐,心动过缓,和晕厥。许多作者建议早期手术干预，但是有些患者可能会因为各种原因而延误。我们在此代表三例眼眶骨折，以防止长期持续性复视。根据情况，对2例患者进行了手术，其中一名患者进行了自体髂骨皮质移植物，以防止术后眼眶内容物突出，一个病人,只释放被困的肌肉。对一名患者进行了保守管理，并进行了定期随访。
