Valente Luisa, Tieghi Riccado, Elia Giovanni, Galiè Manlio
Department of Cranio-Maxillofacial Surgery, Unit of Cranio-Maxillofacial Surgery, St. Anna Hospital and University, Ferrara, Italy.
Ann Maxillofac Surg. 2019 Jul-Dec;9(2):403-406. doi: 10.4103/ams.ams_185_19.
Pediatric orbital floor fractures exhibit distinctive features that distinguish them from orbital injuries seen in the adult population. This is mainly due to different anatomy and mechanical properties of the orbital bones in children. The management of pediatric orbital floor fractures requires consideration of these factors, including the age of the patient and therefore child's growth potential, using, if possible, a minimally invasive surgical approach. The aim of this paper is to report a case of a 1-year-old male child with a surgically treated blowout fracture of the orbital floor. To enable early diagnosis and treatment, accurate physical examination is mandatory, but a computed tomographic examination is important, especially in younger patients because of their inability to fully express their symptoms and poor compliance. We discuss the specific presentation and diagnostics of orbital floor fractures in early childhood and the related surgical planning and treatment.
小儿眶底骨折具有独特的特征,使其有别于成人的眼眶损伤。这主要是由于儿童眼眶骨骼的解剖结构和力学特性不同。小儿眶底骨折的治疗需要考虑这些因素,包括患者的年龄以及因此而来的儿童生长潜力,尽可能采用微创手术方法。本文的目的是报告一例1岁男童经手术治疗的眶底爆裂骨折病例。为了实现早期诊断和治疗,必须进行准确的体格检查,但计算机断层扫描检查也很重要,尤其是对于年幼患者,因为他们无法充分表达症状且依从性差。我们讨论了幼儿眶底骨折的具体表现、诊断以及相关的手术规划和治疗。