Orbital fractures in children
Orbital fractures in children
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DOI：
10.1097/00002341-200105000-00005
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发表时间：
2001-05-01
影响因子：
2
通讯作者：
Rubin, PAD
中科院分区：
文献类型：
--
作者：
Hatton, MP;Watkins, LM;Rubin, PAD
目的：描述儿童眼眶骨折的人口统计学、病因学因素、临床表现和结局。方法：这是一个回顾性病例系列，包括马萨诸塞州眼耳医院收治的96例18岁以下眼眶骨折患者，包括住院和非住院患者。儿童眼眶骨折最常见的原因是运动、袭击或机动车事故。大多数患者不需要住院，而是作为门诊患者接受治疗。骨折部位以眶内侧壁和眶底最多见。该系列中约有一半的患者需要手术，最常见的是卡压。在进行手术或无手术指征的患者中没有持续性复视病例。在一半的patients.Conclusions：在这一系列的住院和非住院患者中，眼眶骨折在儿童中有一个位置模式相似，最常见的成人患者（地板和内侧壁）。儿童眼眶骨折经常需要手术治疗。眼眶骨折儿童眼损伤的高患病率强调了全面眼科评估的必要性。
Purpose: To describe the demographics, etiologic factors, clinical presentations, and outcomes of orbital fractures in children.Methods: This was: a retrospective case series of 96 consecutive patients under 18 years of age with orbital fractures presenting to the Massachusetts Eye and Ear Infirmary, including both hospitalized and nonhospitalized patients.Results: Orbital fractures in children were most frequently the result of sports, assault, or motor vehicle accident. The majority of patients did not require hospitalization and were treated as outpatients. The medial wall and floor of the orbit were the most frequent locations of fracture. Approximately half of the patients in this series required surgery, most often for entrapment. There were no cases of persistent diplopia in patients in whom surgery was performed or was not indicated. Associated ocular injuries were observed in half of the patients.Conclusions: In this series of hospitalized and nonhospitalized patients, orbital fractures in children had a location pattern similar to that most frequently observed in adult patients (floor and medial wall). Orbital fractures in children frequently require surgery. The high prevalence of ocular injury in children with orbital fractures emphasizes the need for a comprehensive ophthalmic evaluation.