Bilateral Blow-in Fractures of the Orbital Roofs caused by the Ballistic Effect of a High-velocity Stone: An Unusual Presentation of Orbital Trauma

We describe a unique case of bilateral blow-in fractures of the orbital roofs. A previously healthy 6-year-old boy was brought to the emergency department after a stone thrown by a car wheel hit his face while sitting on the sidewalk. Maxillofacial and orbital computed tomography revealed nasoethmoid and anterior skull base fractures involving the superior orbital roofs, which were displaced towards the orbit, diagnosed as bilateral orbital roof blow-in and bilateral medial wall blow-out fractures. The patient had rhinorrhea and massive nasal bleeding. An open reduction was performed by a neurosurgeon. This unusual case had an atypical etiology.

Kaynakça

Burnstine MA. Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol. 2003;14:236-40

Smith B, Regan WF Jr. Blow-out fracture of the orbit. Mechanism and correction of internal orbital fracture. Am J Ophthalmol 1957;44:733-9

Dingman RO, Natvig P. Surgery of Facial Fractures. Philadelphia: WB Saunders, 1964, The Zygoma; pp.234-5

Haug RH, Van Sickels JE, Jenkins WS. Demographics and treatment options for orbital roof fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;93:238-46.

5-Alcalá-Galiano A, Arribas-García IJ, Martín-Pérez MA, Romance A, Montalvo-Moreno JJ, Juncos JM.. Pediatric facial fractures: children are not just small adults. Radiographics 2008;28:441-61

Meier JD, Tollefson TT. Pediatric facial trauma. Curr Opin Otolaryngol Head Neck Surg 2008;16:555-61.

Antonyshyn O, Gruss JS, Kassel EE. Blow-in fractures of the orbit. Plast Reconstr Surg 1989;84:10-20

Pease M, Marquez Y, Tuchman A, Markarian A, Zada G. Diagnosis and surgical management of traumatic cerebrospinal fluid oculorrhea: case report and systematic review of the literature. J Neurol Surg Rep; 2013;74:57-66

Cossman JP, Morrison CS, Taylor HO, Salter AB, Klinge PM, Sullivan SR. Traumatic orbital roof fractures: interdisciplinary evaluation and management. 2014;133:335-43.

Losee JE, Afifi A, Jiang S, Smith D, Chao MT, Vecchione L et al. Pediatric orbital fractures: classification, management, and early follow-up. Plast Reconstr Surg. 2008;122:886-97

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