Blow-out fracture in a child: case report
Oliveira, Maiolino Thomaz Fonseca; Zoccoli, Leandro Valentini Junqueira; Rodrigues, Átila Roberto; Furtado, Lair Mambrini; Zanetta-Barbosa, Darceny
Rev. odontol. UNESP, vol.41, n2, p.143-146, 2012
Abstract
Blow-out fractures involving the orbital floor can be divided into pure, when limited to orbital floor, and impure, when they involve the infraorbital margin. This article aims to: discuss the difficulty of immediate diagnosis when there are no evident clinical or radiographic signs; highlight the importance of the computed tomography scan; and, present a clinical case of pure blow-out fracture, involving a 10-year-old child, treated through reconstruction of the orbital floor using titanium mesh.
Keywords
Orbital fracture, pediatric patient, facial trauma.
Referências
1. Couto Junior AS, Oliveira DA, Mattosinho CCS, Curi R. Fratura de órbita por queda de cavalo e correção de estrabismo. Rev Bras Oftalmol. 2010; 69:180-3. http://dx.doi.org/10.1590/S0034-72802010000300008
2. Smith B, Regan WF Jr. Blow-out fracture of the orbit; mechanism and correction of internal orbital fracture. Am J Ophthalmol. 1957; 44:733-9. PMid:13487709.
3. Wang NC, Ma L, Wu SY, Yang FR, Tsai YJ. Orbital blow-out fractures in children: characterization and surgical outcome. Chang Gung Med. J 2010; 33: 313-20. PMid:20584509.
4. Iizuka T, Mikkonen P, Paukku P, Lindqvist C. Reconstruction of orbital floor with polydioxanone plate. Int J Oral Maxillofac Surg. 1991; 20: 83-7. http://dx.doi.org/10.1016/S0901-5027(05)80712-X
5. Souza EMR, Rocha RS, Silva LCF. Reconstrução orbitária com tela de titânio: relato de dois casos. Rev Cir Traumatol Buco-Maxilo- Facial. 2009; 9:75-82.
6. Chi MJ, Ku M, Shin KH, Baek S. An analysis of 733 surgically treated blowout fractures. Ophthalmologica. 2010; 224:167-75. PMid:19776656. http://dx.doi.org/10.1159/000238932
7. Tahiri Y, Lee J, Tahiri M, Sinno H, Williams BH, Lessard L, et al. Preoperative diplopia: the most important prognostic factor for diplopia after surgical repair of pure orbital blowout fracture. J Craniofac Surg. 2010; 21:1038-41. PMid:20613563. http://dx.doi.org/10.1097/ SCS.0b013e3181e47c45
8. Kruschewsky LS, Novais TV, Castelo-Branco B, Mello Filho FV. Aspectos epidemiológicos e sequelas nas fraturas de soalho de órbita atendidas em Serviço de Cirurgia Craniomaxilofacial de Salvador, Bahia. Rev Bras Cir Craniomaxilofac. 2010; 13: 216-20.
9. Himori N. Central retinal artery occlusion following severe blow-out fracture in young adult. Clinical Ophthalmology. 2009; 3: 325–8. PMid:19668585. PMCid:2709037.
10. Morain WD, Colby ED, Stauffer ME, Russell CL, Astorian DG. Reconstruction of orbital wall fenestrations with polyglactin 910 film. Plast Reconstr Surg. 1987; 80: 769-74. PMid:2960996. http://dx.doi.org/10.1097/00006534-198712000-00001
11. Waite PD, Clanton JT. Orbital floor reconstruction with lyophilized dura. J Oral Maxillofac Surg. 1988; 46: 727-30. http://dx.doi. org/10.1016/0278-2391(88)90180-2
12. Egbert JE, May K, Kersten RC, Kulwin DR. Pediatric orbital floor fracture: direct extraocular muscle involvement. Ophthalmology. 2000; 107:1875-9. http://dx.doi.org/10.1016/S0161-6420(00)00334-1
13. Mendonça JCG, Lima CM da C. Reconstrução de assoalho de órbita com lâmina de silicone. Rev Bras Cir Craniomaxilofac. 2011; 14(1): 53-5.
14. Oliveira RB, Silveira RL, Machado RA, Nascimento MMM. Utilização de diferentes materiais de reconstrução em fraturas do assoalho de órbita: relato de seis casos. Rev Cir Traumatol Buco-Maxilo-Facial. 2005; 5: 43–50.
15. Tabrizi R, Ozkan TB, Mohammadinejad C, Minaee N. Orbital floor reconstruction. J Craniofac Surg. 2010; 21:1142-6. PMid:20613583. http://dx.doi.org/10.1097/SCS.0b013e3181e57241
16. Peron MF, Ferreira GM, Camarini ET, Iwaki Filho L, Farah GJ, Pavan AJ. Levantamento epidemiológico das fraturas do complexo zigomático no Serviço de Residência em Cirurgia e Traumatologia Bucomaxilofacial da UEM, no período de 2005 e 2006. Rev Odontol UNESP. 2009; 38(1): 1-5.