2015 Volume 108 Issue 7 Pages 517-523
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.
