小児眼窩壁骨折13例の検討

• 石井 秀将

  広島市立安佐市民病院　耳鼻咽喉科・頭頸部外科

• 羽嶋 正明

  広島市立安佐市民病院　耳鼻咽喉科・頭頸部外科

• 津村 薫

  広島市立安佐市民病院　耳鼻咽喉科・頭頸部外科

• 河野 崇志

  広島大学病院　耳鼻咽喉科・頭頸部外科

• 岩田 和宏

  いわた耳鼻咽喉科クリニック

書誌事項

タイトル別名

• A Study on 13 Cases of Pediatric Orbital Fractures
• 臨床 小児眼窩壁骨折13例の検討
• リンショウ ショウニガンカヘキ コッセツ 13レイ ノ ケントウ

抄録

We retrospectively evaluated 13 cases of orbital fracture in children younger than 15-year-old treated at Hiroshima City Asa Hospital from 2006 to 2012. Seven cases (53.8%) had nausea and vomiting immediately after the injury due to activation of the oculo-vagal reflex. Coronal-view computed tomographic images showed that the inferior wall was fractured in 10 cases. Among them, two cases (20%) had the punched-out type of fracture, three cases (30%) had open-door type fracture, and five cases (50%) had linear-type fracture. All of the five cases with linear-type fracture required urgent surgical intervention. In all cases, gaze impairment was relieved after the operation, however, minor residual diplopia persisted in the three cases who showed the “missing rectus sign” on the preoperative CT. Pediatric orbital fracture is a true surgical emergency. Early diagnosis and surgical repair are crucial.

収録刊行物

• 耳鼻咽喉科臨床

  耳鼻咽喉科臨床 108 (7), 517-523, 2015

  耳鼻咽喉科臨床学会

キーワード

• pediatric orbital fracture
• nausea/vomiting
• white-eyed blowout
• missing rectus sign
• emergency surgery

詳細情報

• CRID: 1390282679250243840
• NII論文ID: 130005084926
• NII書誌ID: AN00107089
• DOI: 10.5631/jibirin.108.517
• ISSN: 18844545
• ISSN: 00326313
• NDL書誌ID: 026598318
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I026598318
• Web Site: https://search.jamas.or.jp/link/ui/2015320804
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可