학동기이전 소아 안와골절 환자의 임상양상과 예후

Prognosis and Clinical Features of Orbital Wall Fracture in Preschool Children

Purpose: To evaluate the clinical aspects associated with the preoperative and postoperative state of blow-out fractures in preschool children. Methods: The authors of the present study retrospectively reviewed 11 cases of blow-out fracture repaired by orbital reconstruction. Results: The most common cause of fracture was a traffic accident (45%); there were 7 cases (63%) of inferior wall fracture and 7 cases (63%) of trapdoor-type fracture. All patients with trapdoor-type fractures had nausea and vomiting. After the operation, the majority of patients (88%) had mild ocular motility restriction and diplopia. Conclusions: In preschool children, systemic symptoms such as nausea and vomiting presented frequently. In addition, complications such as restriction in ocular movement and diplopia often developed postoperatively. J Korean Ophthalmol Soc 2011;52(12):1490-1495