Does diplopia persist after blow-out fractures of the orbital floor in children?
Blow-out fractures of the orbital floor are comparatively rare in children, particularly those less than 8 years old. Published reports have suggested that the long-term outcome in children is worse than that in adults with similar injuries. In this study, we examine this question in the light of da...
Gespeichert in:
| Veröffentlicht in: | British journal of oral & maxillofacial surgery 1999-02, Vol.37 (1), p.46-51 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 51 |
|---|---|
| container_issue | 1 |
| container_start_page | 46 |
| container_title | British journal of oral & maxillofacial surgery |
| container_volume | 37 |
| creator | Cope, M.R. Moos, K.F. Speculand, B. |
| description | Blow-out fractures of the orbital floor are comparatively rare in children, particularly those less than 8 years old. Published reports have suggested that the long-term outcome in children is worse than that in adults with similar injuries. In this study, we examine this question in the light of data from 45 children from Birmingham and Glasgow who were divided into three age ranges: 0–9 years (n = 9), 10–12 years (n = 11) and 13–15 years (n = 25). Fourteen were treated conservatively and 31 were treated surgically. The 0–9-year-old group were more likely to have small- or medium-sized defects in the anterior part of the orbital floor, which were of a linear ‘trapdoor’ type. The 13–15-year-olds tended to have larger ‘open-door’ defects. More than half the 0–9-year-olds had persistent diplopia compared with just under a third of the two other age groups. This diplopia took twice as long to resolve in the younger group compared with the other two groups. Our results confirm the view that younger patients have more persistent problems than adults after blow-out fractures of the orbital floor. |
| doi_str_mv | 10.1054/bjom.1998.0382 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69685727</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0266435698903825</els_id><sourcerecordid>69685727</sourcerecordid><originalsourceid>FETCH-LOGICAL-c369t-cf61b9c7de6b9a0843c4d33f4fed91395f4249e64f28f21cc14316c1897446c43</originalsourceid><addsrcrecordid>eNp10D1rHDEQgGERHOKLkzZlUGHS7UVfq5MqY5xPMCSFUwvt7AjL6FYbSZuQf-897sBuUk3zzDC8hLzjbMtZrz4OD3m_5daaLZNGvCAb3kvRcavYGdkwoXWnZK_PyetaHxhjveD9K3LOmWBSCLEhPz9lrHSMc8pz9HTGUmNt1IeGhQ4p_-3y0mgoHtpSVpkDbfdIcxli84mGlHOhcaJwH9NYcLp6Q14Gnyq-Pc0L8uvL57ubb93tj6_fb65vO5Datg6C5oOF3Yh6sJ4ZJUGNUgYVcLRc2j4ooSxqFYQJggNwJbkGbuxOKQ1KXpAPx7tzyb8XrM3tYwVMyU-Yl-q01abfid0Kt0cIJddaMLi5xL0v_xxn7tDQHRq6Q0N3aLguvD9dXoY9js_4MdoKLk_AV_BpjTNBrE9OGyOFXpk5Mlwz_IlYXIWIE-AYC0JzY47_e-ERBjOM1Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69685727</pqid></control><display><type>article</type><title>Does diplopia persist after blow-out fractures of the orbital floor in children?</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Cope, M.R. ; Moos, K.F. ; Speculand, B.</creator><creatorcontrib>Cope, M.R. ; Moos, K.F. ; Speculand, B.</creatorcontrib><description>Blow-out fractures of the orbital floor are comparatively rare in children, particularly those less than 8 years old. Published reports have suggested that the long-term outcome in children is worse than that in adults with similar injuries. In this study, we examine this question in the light of data from 45 children from Birmingham and Glasgow who were divided into three age ranges: 0–9 years (n = 9), 10–12 years (n = 11) and 13–15 years (n = 25). Fourteen were treated conservatively and 31 were treated surgically. The 0–9-year-old group were more likely to have small- or medium-sized defects in the anterior part of the orbital floor, which were of a linear ‘trapdoor’ type. The 13–15-year-olds tended to have larger ‘open-door’ defects. More than half the 0–9-year-olds had persistent diplopia compared with just under a third of the two other age groups. This diplopia took twice as long to resolve in the younger group compared with the other two groups. Our results confirm the view that younger patients have more persistent problems than adults after blow-out fractures of the orbital floor.</description><identifier>ISSN: 0266-4356</identifier><identifier>EISSN: 1532-1940</identifier><identifier>DOI: 10.1054/bjom.1998.0382</identifier><identifier>PMID: 10203222</identifier><identifier>CODEN: BJOSEY</identifier><language>eng</language><publisher>Londonc: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Biological and medical sciences ; Child ; Dentistry ; Diplopia - etiology ; Female ; Follow-Up Studies ; Hematoma - etiology ; Humans ; Injuries of the orbit. Foreign bodies of the eye. Diseases due to physical agents ; Male ; Medical sciences ; Ophthalmoplegia - etiology ; Orbit - injuries ; Orbital Diseases - etiology ; Orbital Fractures - complications ; Orbital Fractures - pathology ; Orbital Fractures - surgery ; Orbital Fractures - therapy ; Prognosis ; Prostheses and Implants ; Prosthesis Implantation ; Retrospective Studies ; Silicone Elastomers ; Traumas. Diseases due to physical agents ; Treatment Outcome</subject><ispartof>British journal of oral & maxillofacial surgery, 1999-02, Vol.37 (1), p.46-51</ispartof><rights>1999 The British Association of Oral and Maxillofacial Surgeons</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-cf61b9c7de6b9a0843c4d33f4fed91395f4249e64f28f21cc14316c1897446c43</citedby><cites>FETCH-LOGICAL-c369t-cf61b9c7de6b9a0843c4d33f4fed91395f4249e64f28f21cc14316c1897446c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0266435698903825$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1688326$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10203222$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cope, M.R.</creatorcontrib><creatorcontrib>Moos, K.F.</creatorcontrib><creatorcontrib>Speculand, B.</creatorcontrib><title>Does diplopia persist after blow-out fractures of the orbital floor in children?</title><title>British journal of oral & maxillofacial surgery</title><addtitle>Br J Oral Maxillofac Surg</addtitle><description>Blow-out fractures of the orbital floor are comparatively rare in children, particularly those less than 8 years old. Published reports have suggested that the long-term outcome in children is worse than that in adults with similar injuries. In this study, we examine this question in the light of data from 45 children from Birmingham and Glasgow who were divided into three age ranges: 0–9 years (n = 9), 10–12 years (n = 11) and 13–15 years (n = 25). Fourteen were treated conservatively and 31 were treated surgically. The 0–9-year-old group were more likely to have small- or medium-sized defects in the anterior part of the orbital floor, which were of a linear ‘trapdoor’ type. The 13–15-year-olds tended to have larger ‘open-door’ defects. More than half the 0–9-year-olds had persistent diplopia compared with just under a third of the two other age groups. This diplopia took twice as long to resolve in the younger group compared with the other two groups. Our results confirm the view that younger patients have more persistent problems than adults after blow-out fractures of the orbital floor.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Dentistry</subject><subject>Diplopia - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hematoma - etiology</subject><subject>Humans</subject><subject>Injuries of the orbit. Foreign bodies of the eye. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Ophthalmoplegia - etiology</subject><subject>Orbit - injuries</subject><subject>Orbital Diseases - etiology</subject><subject>Orbital Fractures - complications</subject><subject>Orbital Fractures - pathology</subject><subject>Orbital Fractures - surgery</subject><subject>Orbital Fractures - therapy</subject><subject>Prognosis</subject><subject>Prostheses and Implants</subject><subject>Prosthesis Implantation</subject><subject>Retrospective Studies</subject><subject>Silicone Elastomers</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0266-4356</issn><issn>1532-1940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10D1rHDEQgGERHOKLkzZlUGHS7UVfq5MqY5xPMCSFUwvt7AjL6FYbSZuQf-897sBuUk3zzDC8hLzjbMtZrz4OD3m_5daaLZNGvCAb3kvRcavYGdkwoXWnZK_PyetaHxhjveD9K3LOmWBSCLEhPz9lrHSMc8pz9HTGUmNt1IeGhQ4p_-3y0mgoHtpSVpkDbfdIcxli84mGlHOhcaJwH9NYcLp6Q14Gnyq-Pc0L8uvL57ubb93tj6_fb65vO5Datg6C5oOF3Yh6sJ4ZJUGNUgYVcLRc2j4ooSxqFYQJggNwJbkGbuxOKQ1KXpAPx7tzyb8XrM3tYwVMyU-Yl-q01abfid0Kt0cIJddaMLi5xL0v_xxn7tDQHRq6Q0N3aLguvD9dXoY9js_4MdoKLk_AV_BpjTNBrE9OGyOFXpk5Mlwz_IlYXIWIE-AYC0JzY47_e-ERBjOM1Q</recordid><startdate>19990201</startdate><enddate>19990201</enddate><creator>Cope, M.R.</creator><creator>Moos, K.F.</creator><creator>Speculand, B.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990201</creationdate><title>Does diplopia persist after blow-out fractures of the orbital floor in children?</title><author>Cope, M.R. ; Moos, K.F. ; Speculand, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c369t-cf61b9c7de6b9a0843c4d33f4fed91395f4249e64f28f21cc14316c1897446c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Dentistry</topic><topic>Diplopia - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hematoma - etiology</topic><topic>Humans</topic><topic>Injuries of the orbit. Foreign bodies of the eye. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Ophthalmoplegia - etiology</topic><topic>Orbit - injuries</topic><topic>Orbital Diseases - etiology</topic><topic>Orbital Fractures - complications</topic><topic>Orbital Fractures - pathology</topic><topic>Orbital Fractures - surgery</topic><topic>Orbital Fractures - therapy</topic><topic>Prognosis</topic><topic>Prostheses and Implants</topic><topic>Prosthesis Implantation</topic><topic>Retrospective Studies</topic><topic>Silicone Elastomers</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cope, M.R.</creatorcontrib><creatorcontrib>Moos, K.F.</creatorcontrib><creatorcontrib>Speculand, B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of oral & maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cope, M.R.</au><au>Moos, K.F.</au><au>Speculand, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does diplopia persist after blow-out fractures of the orbital floor in children?</atitle><jtitle>British journal of oral & maxillofacial surgery</jtitle><addtitle>Br J Oral Maxillofac Surg</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>37</volume><issue>1</issue><spage>46</spage><epage>51</epage><pages>46-51</pages><issn>0266-4356</issn><eissn>1532-1940</eissn><coden>BJOSEY</coden><abstract>Blow-out fractures of the orbital floor are comparatively rare in children, particularly those less than 8 years old. Published reports have suggested that the long-term outcome in children is worse than that in adults with similar injuries. In this study, we examine this question in the light of data from 45 children from Birmingham and Glasgow who were divided into three age ranges: 0–9 years (n = 9), 10–12 years (n = 11) and 13–15 years (n = 25). Fourteen were treated conservatively and 31 were treated surgically. The 0–9-year-old group were more likely to have small- or medium-sized defects in the anterior part of the orbital floor, which were of a linear ‘trapdoor’ type. The 13–15-year-olds tended to have larger ‘open-door’ defects. More than half the 0–9-year-olds had persistent diplopia compared with just under a third of the two other age groups. This diplopia took twice as long to resolve in the younger group compared with the other two groups. Our results confirm the view that younger patients have more persistent problems than adults after blow-out fractures of the orbital floor.</abstract><cop>Londonc</cop><pub>Elsevier Ltd</pub><pmid>10203222</pmid><doi>10.1054/bjom.1998.0382</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0266-4356 |
| ispartof | British journal of oral & maxillofacial surgery, 1999-02, Vol.37 (1), p.46-51 |
| issn | 0266-4356 1532-1940 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69685727 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Age Factors Biological and medical sciences Child Dentistry Diplopia - etiology Female Follow-Up Studies Hematoma - etiology Humans Injuries of the orbit. Foreign bodies of the eye. Diseases due to physical agents Male Medical sciences Ophthalmoplegia - etiology Orbit - injuries Orbital Diseases - etiology Orbital Fractures - complications Orbital Fractures - pathology Orbital Fractures - surgery Orbital Fractures - therapy Prognosis Prostheses and Implants Prosthesis Implantation Retrospective Studies Silicone Elastomers Traumas. Diseases due to physical agents Treatment Outcome |
| title | Does diplopia persist after blow-out fractures of the orbital floor in children? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T03%3A19%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Does%20diplopia%20persist%20after%20blow-out%20fractures%20of%20the%20orbital%20floor%20in%20children?&rft.jtitle=British%20journal%20of%20oral%20&%20maxillofacial%20surgery&rft.au=Cope,%20M.R.&rft.date=1999-02-01&rft.volume=37&rft.issue=1&rft.spage=46&rft.epage=51&rft.pages=46-51&rft.issn=0266-4356&rft.eissn=1532-1940&rft.coden=BJOSEY&rft_id=info:doi/10.1054/bjom.1998.0382&rft_dat=%3Cproquest_cross%3E69685727%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=69685727&rft_id=info:pmid/10203222&rft_els_id=S0266435698903825&rfr_iscdi=true |