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Başlık: Posttraumatic subperiosteal hematomas of the orbit in children
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı.
0000-0001-8889-1933
Yazıcı, Bülent
Gönen, Tansu
AAA-5384-2020
7005398015
34869701000
Anahtar kelimeler: Ophthalmology
Surgery
Sub-periosteal hematomas
Complication
Hemorrhage
Diagnosis
Boy
Yayın Tarihi: 2011
Yayıncı: Lippincott Williams & Wilkins
Atıf: Yazıcı, B. ve Gönen, T. (2011). "Posttraumatic subperiosteal hematomas of the orbit in children". Ophthalmic Plastic and Reconstructive Surgery, 27(1), 33-37.
Özet: Purpose: To describe 5 pediatric patients with traumatic orbital subperiosteal hematoma and review the relevant literature. Methods: Retrospective chart analysis of 5 children with posttraumatic subperiosteal hematoma and a systematic review of the English language literature. Results: Five new pediatric cases of orbital subperiosteal hematoma are presented with varying clinical and radiologic manifestations and treatments. Literature review (including the current 5 cases) yielded 23 cases in total. Eighteen (78%) of the patients were boys, and 5 (22%) were girls. The children ranged in age from 5 to 17 years, with the mean and median ages being 12 years. The leading cause was blunt trauma related to falls or direct impact. Two patients (9%) had an inherited coagulopathy, predisposing them to orbital hemorrhage. The hematomas developed in the superior orbit in all cases except one. In 3 patients (13%), orbital hematomas were bilateral. In 9 patients (39%), the hematomas extended in subgaleal or frontal subdural spaces. In 7 patients (30%), subperiosteal hematoma was associated with compressive optic neuropathy. Four patients (17%) had a nondisplaced orbital roof fracture. Seventeen patients were treated with surgical evacuation of hematoma (52%) or with needle aspiration (22%), and 5 patients (22%) were observed for spontaneous resolution. Three patients (13%) experienced a recurrence of hemorrhage. Conclusions: In children, traumatic subperiosteal hematomas of the orbit typically occur after blunt trauma in the superior orbit. The risk of compressive optic neuropathy may be higher in patients with bilateral hematoma and massive subgaleal hematoma. Most patients are treated with evacuation of the hematoma.
URI: https://doi.org/10.1097/IOP.0b013e3181eea1e9
https://pubmed.ncbi.nlm.nih.gov/20871461/
http://hdl.handle.net/11452/23846
ISSN: 0740-9303
Koleksiyonlarda Görünür:Scopus
Web of Science

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