TY - JOUR PY - 2017// TI - Characteristics of orbital wall fractures in preschool and school-aged children JO - Clinical and experimental emergency medicine A1 - Yang, Dong Jin A1 - Kim, Youn-Jung A1 - Seo, Dong-Woo A1 - Lee, Hyung-Joo A1 - Park, In-June A1 - Sohn, Chang Hwan A1 - Ryoo, Jung Min A1 - Lee, Jong Seung A1 - Kim, Won Young A1 - Lim, Kyoung Soo SP - 32 EP - 37 VL - 4 IS - 1 N2 - OBJECTIVE: This study aimed to evaluate the injury patterns in pediatric patients with an orbital wall fracture (OWF) and to identify the differences in injury patterns between preschool and school-aged patients with OWF who presented to the emergency department.

METHODS: We performed a retrospective observational study in the emergency department of a tertiary hospital between January 2004 and March 2014. A total of 177 pediatric patients (<18 years) with OWF who underwent facial bone computed tomography scans with specific discharge codes were included. Patients were categorized into preschool (≤7 years) and school-aged (>7 years) pediatric groups.

RESULTS: The inferior wall was the most common fracture site in both the preschool and school-aged pediatric groups (50.0% vs. 64.4%, P=0.15). The male-to-female ratio and the mechanism of injury showed significant differences between the two age groups. Violence was the most common mechanism of injury in the school-aged pediatric group (49.3%), whereas falls from a height caused OWF in approximately half of the patients in the preschool pediatric group (42.9%). Concomitant injuries and facial fractures had a tendency to occur more frequently in the school-aged pediatric group.

CONCLUSION: Significant differences according to the sex and mechanisms of injury were identified in preschool and school-aged pediatric patients with OWF.

Language: en

LA - en SN - 2383-4625 UR - http://dx.doi.org/10.15441/ceem.16.153 ID - ref1 ER -