Case Report

Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment

Volume: 6 Number: 2 August 31, 2026
TR EN

Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment

Abstract

Maxillofacial trauma may be associated with orbital wall fractures and isolated ocular movement disorders. Careful ocular examination in the emergency department is essential for early diagnosis. A 14-year-old male presented approximately 2 hours after a punch to the right maxillary region with complaints of diplopia. Physical examination revealed limitation of upward gaze in the right eye. Orbital computed tomography demonstrated a fracture of the right inferior orbital wall, and magnetic resonance imaging confirmed entrapment of the inferior rectus muscle into the maxillary sinus. Surgical intervention was performed within 48 hours after diagnosis, resulting in full recovery of ocular motility. Orbital floor fractures in pediatric patients may present with minimal external findings but significant ocular motility impairment. Early recognition and appropriate management can prevent permanent complications.

Keywords

Supporting Institution

No financial support was received from any institution or organization for this case report.

Ethical Statement

Written informed consent was obtained from the patient and/or the patient’s legal representative for the publication of this case report.

Thanks

The authors thank the patient and the patient’s family for their contribution to the study.

References

  1. Hwang K, You SH, Sohn IA. Analysis of orbital bone fractures: A 12-year study of 391 patients. J Craniofac Surg 2009;20(4):1218-23.
  2. Kirvelä A, Snäll J, Suominen A, Puolakkainen T, Thorén H. Characteristics of associated injuries in children and teenagers with craniofacial fractures. J Craniofac Surg 2023;34(6):1625-8.
  3. Hassan B, Liang F, Grant MP. Pediatric orbital fractures. Oral Maxillofac Surg Clin North Am 2023;35(4):585-96.
  4. Burnstine MA. Clinical recommendations for repair of orbital facial fractures. Curr Opin Ophthalmol 2003;14(5):236-40.
  5. Basnet A, Chug A, Simre S, Vyas A, Shrestha S. Comprehensive management of pediatric orbital fractures: A case series and review of literature. Cureus 2024;16(4):e57915.
  6. Hsieh PJ, Liao HT. Outcome analysis of surgical timing in pediatric orbital trapdoor fracture with different entrapment contents: A retrospective study. Children (Basel) 2022;9(3):398.
  7. Buck LS, Stockton S, Spankovich C, Jordan JR. Pediatric orbital floor fractures and the oculocardiac reflex: Experience from a level I trauma center. Am J Otolaryngol 2020;41(4):102553.
  8. Wei LA, Durairaj VD. Pediatric orbital floor fractures. J AAPOS 2011;15(2):173-80.

Details

Primary Language

English

Subjects

Emergency Medicine

Journal Section

Case Report

Publication Date

August 31, 2026

Submission Date

March 7, 2026

Acceptance Date

July 7, 2026

Published in Issue

Year 2026 Volume: 6 Number: 2

APA
Demirci, B., Coşkun, A., Hıncal, Ş. Ö., Doğan, H. C., & Gündoğan, S. (2026). Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment. Güncel Tıbbi Araştırmaları Dergisi, 6(2), 78-82. https://doi.org/10.52818/cjmr.1904654
AMA
1.Demirci B, Coşkun A, Hıncal ŞÖ, Doğan HC, Gündoğan S. Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment. CJMR. 2026;6(2):78-82. doi:10.52818/cjmr.1904654
Chicago
Demirci, Burak, Abuzer Coşkun, Şakir Ömür Hıncal, Halil Can Doğan, and Selman Gündoğan. 2026. “Isolated Diplopia and Gaze Limitation Following Blunt Maxillary Trauma in a Child: A Pediatric Orbital Floor Fracture With Muscle Entrapment”. Güncel Tıbbi Araştırmaları Dergisi 6 (2): 78-82. https://doi.org/10.52818/cjmr.1904654.
EndNote
Demirci B, Coşkun A, Hıncal ŞÖ, Doğan HC, Gündoğan S (August 1, 2026) Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment. Güncel Tıbbi Araştırmaları Dergisi 6 2 78–82.
IEEE
[1]B. Demirci, A. Coşkun, Ş. Ö. Hıncal, H. C. Doğan, and S. Gündoğan, “Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment”, CJMR, vol. 6, no. 2, pp. 78–82, Aug. 2026, doi: 10.52818/cjmr.1904654.
ISNAD
Demirci, Burak - Coşkun, Abuzer - Hıncal, Şakir Ömür - Doğan, Halil Can - Gündoğan, Selman. “Isolated Diplopia and Gaze Limitation Following Blunt Maxillary Trauma in a Child: A Pediatric Orbital Floor Fracture With Muscle Entrapment”. Güncel Tıbbi Araştırmaları Dergisi 6/2 (August 1, 2026): 78-82. https://doi.org/10.52818/cjmr.1904654.
JAMA
1.Demirci B, Coşkun A, Hıncal ŞÖ, Doğan HC, Gündoğan S. Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment. CJMR. 2026;6:78–82.
MLA
Demirci, Burak, et al. “Isolated Diplopia and Gaze Limitation Following Blunt Maxillary Trauma in a Child: A Pediatric Orbital Floor Fracture With Muscle Entrapment”. Güncel Tıbbi Araştırmaları Dergisi, vol. 6, no. 2, Aug. 2026, pp. 78-82, doi:10.52818/cjmr.1904654.
Vancouver
1.Burak Demirci, Abuzer Coşkun, Şakir Ömür Hıncal, Halil Can Doğan, Selman Gündoğan. Isolated diplopia and gaze limitation following blunt maxillary trauma in a child: a pediatric orbital floor fracture with muscle entrapment. CJMR. 2026 Aug. 1;6(2):78-82. doi:10.52818/cjmr.1904654