A Rare Entity in Emergency Department: Trapdoor Fracture

Yıl 2023, Cilt: 14 Sayı: 4, 96 - 97, 31.12.2023

Baycan Kuş Necmi Baykan Ömer Salt Serhat Koyuncu Ayşe Şule Akan

https://doi.org/10.33706/jemcr.1383140

Öz

Trapdoor fracture also known as, ‘White-eyed blowout fracture’’ is generally seen among pediatric patients with orbital floor blowout fracture. It is presented as ‘’open door fracture’’ in adults because of the mineralized, fragile orbital bones. An 11-year-old boy was admitted to the emergency department (ED) because of falling and hitting his on the occipital region. His main complaint was diplopia. He did not have nausea or pain. No visible lesion detected on his head. When the orbital CT scan was examined carefully, a fracture of the right orbital floor and herniation of orbital soft tissue was noticed. The patient was transferred to the plastic surgery department for surgical intervention. Even though there is no direct trauma, or visible pathology around orbital region, emergency physiscians should keep in mind trapdoor fracture, especially in pediatric patients with head trauma.

Anahtar Kelimeler

Diplopia, Emergency Medicine, Trapdoor Fracture, Trauma

Kaynakça

• 1) Stotland MA, Do KD. Pediatric orbital fractures. J Craniofac Surg 2011;22:1230-35.
• 2) Wei LA, Durairaj VD. Pediatric orbital floor fractures. J AAPOS 2011;15:173-80.
• 3) Jordan DR, Allen LH, White J, Harvey J, Pashby R, Esmaeli B. Intervention within days for some orbital floor fractures: the white-eyed blowout. Ophthal Plast Reconstr Surg 1998;14:379 90.
• 4) Kwon JH, Moon JH, Kwon MS, Cho JH. The differences of blowout fracture of the inferior orbital wall between children and adults. Arch Otolaryngol Head Neck Surg 2005;131:723-7.
• 5) Phan LT, Jordan Piluek W, McCulley TJ. Orbital trapdoor fractures. Saudi J Ophthalmol 2012;26:277-82.
• 6) Baek SH, Lee EY. Clinical analysis of internal orbital fractures in children. Korean J Ophthalmol 2003;17:44-9.
• 7) Atanu B, Meenakshi S, Bipasha M. Orbital fractures in children: clinical features and management outcomes. J AAPOS 2018;1.e1–1.e7
• 8) Wei LA, Durairaj VD. Pediatric orbital floor fractures. J Aapos 2011;15:173–80.
• 9) Gerbino G, Roccia F, Bianchi FA, Zavattero E. Surgical management of orbital trapdoor fracture in a pediatric population. J Oral Maxillofac Surg 2010;68:1310–6.
• 10) Grant JH, Patrinely JR, Weiss AH, Kierney PC, Gruss JS. Trapdoor fracture of the orbit in a pediatric population. Plast Reconstr Surg 2002;109:482–9.