Orbital Roof Fractures in the Pediatric Population
Orbital Roof Fractures in the Pediatric Population
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儿童眼眶顶骨折
DOI：
10.1097/00006534-198908000-00003
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发表时间：
1989
影响因子：
3.6
通讯作者：
J. M. Pensler
中科院分区：
文献类型：
--
作者：
A. Messinger;M. A. Radkowski;M. Greenwald;J. M. Pensler
本文报告1984年1月至1987年9月间23例患者，年龄3.3±1.6岁（平均±SD），均为额眶外伤，导致单侧（N = 20）或双侧（N = 3）眶顶骨折。所有患者均行轴位和冠状位计算机断层扫描（CT），显示眶顶三种骨折类型（非移位、上移位和下移位骨折）。35% （N = 8）的患者出现眶外异位。61% （N = 14）的患者眼球突出。只有30%的患者（N = 7）伴有颌面骨折。8%的骨折表现为眼眶脑膨出。所有患者均无额窦充血。大多数儿童眶顶骨折不伴有面部骨折。CT利用轴位和冠状面切片在确定骨折的范围和模式以及识别相关的神经损伤方面是有价值的。在我们的研究中，13例移位性骨折患者中有3例发生了较大的移位性眶顶骨折，应及早复位以避免脑膨出的晚期发展。
Twenty-three patients aged 3.3 ± 1.6 years (mean ± SD) presented between January of 1984 and September of 1987 with fronto-orbital trauma resulting in fractures of one (N = 20) or both (N = 3) orbital roofs. All patients had computed tomography (CT) with axial and coronal sections that revealed three fracture patterns of the orbital roof (nondisplaced, superiorly displaced, and infe-riorly displaced fractures). Orbital dystopia was exhibited in 35 percent (N = 8) of the patients. Exophthalmos was noted in 61 percent (N = 14) of the patients. Only 30 percent of the patients (N = 7) sustained associated maxillofacial fractures. Eight percent of fractures exhibited orbital encephaloceles. All patients lacked frontal sinus pneumatization. The majority of children with orbital roof fractures do not exhibit concomitant facial fractures. CT utilizing both axial and coronal sections is valuable in defining the extent and pattern of the fracture as well as in identifying associated neurologic injuries. Large, displaced orbital roof fractures, which occurred in 3 of 13 patients with displaced fractures in our series, should undergo early reduction to avoid late development of encephalocele.