Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case report
Orbital trapdoor fractures are a unique type of blowout fracture seen predominantly in children due to their elastic bone structure, which predisposes to soft tissue entrapment and symptoms such as diplopia. These injuries, often termed “white-eyed blowout” fractures due to the absence of significan...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013347 |
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| author | Zakariae Hakkou Zainab El Zouiti Fahd Elayoubi Adil Abdenbi Tsen |
| author_facet | Zakariae Hakkou Zainab El Zouiti Fahd Elayoubi Adil Abdenbi Tsen |
| author_sort | Zakariae Hakkou |
| collection | DOAJ |
| description | Orbital trapdoor fractures are a unique type of blowout fracture seen predominantly in children due to their elastic bone structure, which predisposes to soft tissue entrapment and symptoms such as diplopia. These injuries, often termed “white-eyed blowout” fractures due to the absence of significant external signs, demand careful clinical and radiological evaluation. We present the case of a 15-year-old male who experienced diplopia and restricted upward gaze following blunt trauma to the left eye. Despite the lack of periorbital edema or hemorrhage, CT imaging revealed inferior rectus muscle entrapment, characterized by the tear-drop sign. Emergency surgical intervention within 8 hours successfully released the entrapped muscle, and a Vicryl mesh was placed to prevent re-entrapment. Postoperative care included anti-inflammatory treatment, with follow-up demonstrating significant improvement in ocular mobility and resolution of diplopia. This case underscores the critical role of prompt recognition, high-resolution CT imaging, and timely surgical intervention in the management of pediatric orbital trapdoor fractures to prevent long-term functional impairments. |
| format | Article |
| id | doaj-art-8b327e211a1c41209e8df0d3f464beef |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-8b327e211a1c41209e8df0d3f464beef2025-01-18T05:03:58ZengElsevierRadiology Case Reports1930-04332025-03-0120314031405Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case reportZakariae Hakkou0Zainab El Zouiti1Fahd Elayoubi2Adil Abdenbi Tsen3Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Oral and Maxillofacial Surgery, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco; Corresponding author.Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Oral and Maxillofacial Surgery, Mohammed VI University Hospital, Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of ENT and Cervicofacial Surgery, Mohammed VI University Hospital, Mohammed I University, Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Oral and Maxillofacial Surgery, Mohammed VI University Hospital, Mohammed I University, Oujda, MoroccoOrbital trapdoor fractures are a unique type of blowout fracture seen predominantly in children due to their elastic bone structure, which predisposes to soft tissue entrapment and symptoms such as diplopia. These injuries, often termed “white-eyed blowout” fractures due to the absence of significant external signs, demand careful clinical and radiological evaluation. We present the case of a 15-year-old male who experienced diplopia and restricted upward gaze following blunt trauma to the left eye. Despite the lack of periorbital edema or hemorrhage, CT imaging revealed inferior rectus muscle entrapment, characterized by the tear-drop sign. Emergency surgical intervention within 8 hours successfully released the entrapped muscle, and a Vicryl mesh was placed to prevent re-entrapment. Postoperative care included anti-inflammatory treatment, with follow-up demonstrating significant improvement in ocular mobility and resolution of diplopia. This case underscores the critical role of prompt recognition, high-resolution CT imaging, and timely surgical intervention in the management of pediatric orbital trapdoor fractures to prevent long-term functional impairments.http://www.sciencedirect.com/science/article/pii/S1930043324013347Pediatric blowout fractureOrbital trapdoor fractureInferior rectus muscle entrapmentTear-Drop sign |
| spellingShingle | Zakariae Hakkou Zainab El Zouiti Fahd Elayoubi Adil Abdenbi Tsen Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case report Radiology Case Reports Pediatric blowout fracture Orbital trapdoor fracture Inferior rectus muscle entrapment Tear-Drop sign |
| title | Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case report |
| title_full | Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case report |
| title_fullStr | Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case report |
| title_full_unstemmed | Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case report |
| title_short | Pediatric trapdoor fracture of the orbital floor with Tear-Drop sign: A case report |
| title_sort | pediatric trapdoor fracture of the orbital floor with tear drop sign a case report |
| topic | Pediatric blowout fracture Orbital trapdoor fracture Inferior rectus muscle entrapment Tear-Drop sign |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013347 |
| work_keys_str_mv | AT zakariaehakkou pediatrictrapdoorfractureoftheorbitalfloorwithteardropsignacasereport AT zainabelzouiti pediatrictrapdoorfractureoftheorbitalfloorwithteardropsignacasereport AT fahdelayoubi pediatrictrapdoorfractureoftheorbitalfloorwithteardropsignacasereport AT adilabdenbitsen pediatrictrapdoorfractureoftheorbitalfloorwithteardropsignacasereport |