The ‘White-eyed’ Orbital Blowout Fracture: An Easily Overlooked Injury in Maxillofacial Trauma

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'White-eyed' blowout fracture: a case series of five children.

The 'white-eyed' blowout fracture is an orbital injury in children that is commonly initially misdiagnosed as a head injury because of predominant autonomic features and lack of soft-tissue signs. We present five patients who presented with nausea and vomiting following an apparent mild head or facial injury. None of the five had any external evidence of injury. Despite each case describing dip...

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The white-eyed blowout fracture in the child: beware of distractions

Inferior 'trapdoor' orbital floor fractures with muscle and soft tissue incarceration are the most common type of orbital fracture in children. Delays to treatment can lead to a significant morbidity. It has been recommended that children who present with a 'white-eyed blowout' fracture should have surgery performed within 48h of diagnosis, otherwise prognosis is poor. A 14-year-old boy was ini...

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White-Eyed Medial Orbital Wall Fracture with Oculocardiac Symptoms

247 Im ages procedural pain has been associated with the use of a filler containing HA and lidocaine [3]. The present report is the first case of a severe angioedema-type acute hypersensitivity reaction to a filler containing HA and lidocaine. In the present case, this acute reaction could be secondary to HA, lidocaine, EMLA cream, or simply due to the repeated punctures of the needle. Although...

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An important but easily overlooked medical complication of multiple trauma

A 53-year-old man was trapped under a hydraulic lift on the back of his lorry trailer. He was found to have spinal injuries with a comminuted unstable fracture of T6 and stable fracture of T12. He had further fractures of the left first rib, right second rib, and his sternum. He was admitted to the orthopaedic ward for conservative management with a spinal splint for five weeks. He remained sta...

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Isolated Medial Orbital Wall Blowout Fracture

Figure 1. Coronal view of computed tomography max/face revealing a right-sided medial orbital wall blowout fracture without entrapment.

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ژورنال

عنوان ژورنال: Cureus

سال: 2019

ISSN: 2168-8184

DOI: 10.7759/cureus.4412