Characteristics of orbital wall fractures in preschool and school-aged children.
- Author:
Dong Jin YANG
1
;
Youn Jung KIM
;
Dong Woo SEO
;
Hyung Joo LEE
;
In June PARK
;
Chang Hwan SOHN
;
Jung Min RYOO
;
Jong Seung LEE
;
Won Young KIM
;
Kyoung Soo LIM
Author Information
- Publication Type:Original Article
- Keywords: Orbital fractures; Pediatric; Facial injuries; Computed tomography; Emergency medical services
- MeSH: Accidental Falls; Child*; Emergency Medical Services; Emergency Service, Hospital; Facial Bones; Facial Injuries; Humans; Observational Study; Orbit*; Orbital Fractures; Retrospective Studies; Tertiary Care Centers; Violence
- From: Clinical and Experimental Emergency Medicine 2017;4(1):32-37
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: This study aimed to evaluate the injury patterns in pediatric patients with an orbital wall fracture (OWF) and to identify the differences in injury patterns between preschool and school-aged patients with OWF who presented to the emergency department. METHODS: We performed a retrospective observational study in the emergency department of a tertiary hospital between January 2004 and March 2014. A total of 177 pediatric patients (<18 years) with OWF who underwent facial bone computed tomography scans with specific discharge codes were included. Patients were categorized into preschool (≤7 years) and school-aged (>7 years) pediatric groups. RESULTS: The inferior wall was the most common fracture site in both the preschool and school-aged pediatric groups (50.0% vs. 64.4%, P=0.15). The male-to-female ratio and the mechanism of injury showed significant differences between the two age groups. Violence was the most common mechanism of injury in the school-aged pediatric group (49.3%), whereas falls from a height caused OWF in approximately half of the patients in the preschool pediatric group (42.9%). Concomitant injuries and facial fractures had a tendency to occur more frequently in the school-aged pediatric group. CONCLUSION: Significant differences according to the sex and mechanisms of injury were identified in preschool and school-aged pediatric patients with OWF.
