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. 2013:2013:574146.
doi: 10.1155/2013/574146. Epub 2013 Jul 15.

Supraorbital blowin fracture presenting as an ocular dystopia in a nine-year-old girl

Ranganadh Nallamothu  1 , Shanmukha Reddy Kallam, Srikanth Gunturu, Sukumar Singh, Vijay Kumar Rachalapally
Affiliations

Supraorbital blowin fracture presenting as an ocular dystopia in a nine-year-old girl

Ranganadh Nallamothu et al. Case Rep Dent. 2013.

Abstract

A 9-year-old girl was referred to a trauma centre with severe head injury. 3D CT scan revealed depressed fracture involving the frontal bone on the right side, right parietal bone, and right superior orbital margin, right lamina papyracea. The frontal table was managed conservatively and open reduction and internal fixation was done for the supraorbital blow in to correct the ocular dystopia. The clinical course, possible mechanism, and management of the patient are discussed.

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Figures

Figure 1
Figure 1
Subconjunctival hemorrhage, circumorbital ecchymosis, and horizontal ocular dystopia involving the right eye.
Figure 2
Figure 2
3D CT scan revealed depressed fracture involving the frontal bone on the right side, right parietal bone, right superior orbital margin, right lamina papyracea, right maxillary, bilateral ethmoid, sphenoid sinusitis/hemosinus, and small posttraumatic encephalocele at anterior skull base from cribriform plate.
Figure 3
Figure 3
(a) Marking for the incision. (b) Fracture site exposed. (c) Reducing the segment manually with Howarth's periosteal elevator. (d) Open reduction and internal fixation with titanium plate and screws. (e) Layerwise closure done.
Figure 4
Figure 4
Postoperative 3D CT scan revealing titanium plate and screws intact at the fracture site.
Figure 5
Figure 5
Two weeks after operation.
See this image and copyright information in PMC

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References

    1. Haug RH. Management of the trochlea of the superior oblique muscle in the repair of orbital roof trauma. Journal of Oral and Maxillofacial Surgery. 2000;58(6):602–606. - PubMed
    1. Sullivan WG. Displaced orbital roof fractures: presentation and treatment. Plastic and Reconstructive Surgery. 1991;87(4):657–661. - PubMed
    1. Penfold CN, Lang D, Evans BT. The management of orbital roof fractures. British Journal of Oral and Maxillofacial Surgery. 1992;30(2):97–103. - PubMed
    1. McLachlan DL, Flanagan JC, Shannon GM. Complications of orbital roof fractures. Ophthalmology. 1982;89(11):1274–1278. - PubMed
    1. Schultz RC. Supraorbital and glabellar fractures. Plastic and Reconstructive Surgery. 1970;45(3):227–233. - PubMed

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