A RARE ENTITY IN EMERGENCY DEPARTMENT: TRAPDOOR FRACTURE

IF 0.1 Q4 EMERGENCY MEDICINE Journal of Emergency Medicine Case Reports Pub Date : 2023-12-06 DOI:10.33706/jemcr.1383140
Baycan Kuş, Necmi Baykan, Ömer Salt, Serhat Koyuncu, A. Akan
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Abstract

Abstract Introduction: Trapdoor fracture also known as, ‘White-eyed blowout fracture’’ is generally seen among pediatric patients with orbital floor blowout fracture. Case Report: 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. Conclusion: 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.
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急诊科的罕见病例活板门骨折
摘要 简介:Trapdoor骨折又称 "白眼喷射骨折",通常见于眶底喷射骨折的儿童患者。病例报告:由于眶骨矿化、脆弱,在成人中表现为 "开门骨折"。一名 11 岁男孩因摔倒撞到枕部而被送进急诊科。他的主诉是复视。他没有恶心或疼痛感。头部未发现明显病变。仔细检查眼眶 CT 扫描后,发现右眼眶底部骨折,眼眶软组织疝出。患者被转到整形外科进行手术治疗。结论尽管没有直接外伤,眼眶周围也没有明显的病变,但急诊医生仍应牢记活板门骨折,尤其是头部外伤的儿童患者。
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