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Viktigt att agera snabbt vid traumatiska orbitala tillstånd : Risk för permanent synnedsättning och dubbelseende vid felaktig eller fördröjd handläggning

Berggren, Johanna LU ; Alinasab, Babak ; Örnolfsson, Arni LU orcid ; Bohman, Elin and Engelsberg, Karl LU (2021) In Lakartidningen 118. p.1-5
Abstract

The purpose of this article is to highlight the importance of appropriate management of acute orbital trauma, in order to prevent permanent impaired vision and double vision. Orbital blowout fractures with entrapment, so-called trapdoor fractures, occur more often in children than in adults, and require immediate surgical intervention. A blowout fracture with impingement, so-called open door fracture, does not require immediate intervention. However, if the motility does not improve within 1-2 weeks surgery may be required. The symptomatology in children with orbital fractures may differ significantly from that in adults, and vasovagal symptoms such as bradycardia and nausea are common. Orbital compartment syndrome is characterized by... (More)

The purpose of this article is to highlight the importance of appropriate management of acute orbital trauma, in order to prevent permanent impaired vision and double vision. Orbital blowout fractures with entrapment, so-called trapdoor fractures, occur more often in children than in adults, and require immediate surgical intervention. A blowout fracture with impingement, so-called open door fracture, does not require immediate intervention. However, if the motility does not improve within 1-2 weeks surgery may be required. The symptomatology in children with orbital fractures may differ significantly from that in adults, and vasovagal symptoms such as bradycardia and nausea are common. Orbital compartment syndrome is characterized by an acute increase in orbital pressure, and may result in irreversible blindness if not promptly treated with lateral canthotomy and cantholysis.

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Please use this url to cite or link to this publication:
author
; ; ; and
alternative title
Acute orbital trauma - risk of permanent impaired vision and double vision
publishing date
type
Contribution to journal
publication status
published
keywords
Adult, Child, Compartment Syndromes/etiology, Diplopia, Eye Injuries/complications, Humans, Orbital Fractures/complications
in
Lakartidningen
volume
118
pages
1 - 5
publisher
Swedish Medical Association
external identifiers
  • pmid:34897608
ISSN
0023-7205
language
Swedish
LU publication?
no
id
1cb20255-842a-416f-967c-4b6684a01619
alternative location
https://lakartidningen.se/wp-content/uploads/2021/12/21-141.pdf
date added to LUP
2023-04-19 15:15:01
date last changed
2023-04-20 08:11:24
@article{1cb20255-842a-416f-967c-4b6684a01619,
  abstract     = {{<p>The purpose of this article is to highlight the importance of appropriate management of acute orbital trauma, in order to prevent permanent impaired vision and double vision. Orbital blowout fractures with entrapment, so-called trapdoor fractures, occur more often in children than in adults, and require immediate surgical intervention. A blowout fracture with impingement, so-called open door fracture, does not require immediate intervention. However, if the motility does not improve within 1-2 weeks surgery may be required. The symptomatology in children with orbital fractures may differ significantly from that in adults, and vasovagal symptoms such as bradycardia and nausea are common. Orbital compartment syndrome is characterized by an acute increase in orbital pressure, and may result in irreversible blindness if not promptly treated with lateral canthotomy and cantholysis.</p>}},
  author       = {{Berggren, Johanna and Alinasab, Babak and Örnolfsson, Arni and Bohman, Elin and Engelsberg, Karl}},
  issn         = {{0023-7205}},
  keywords     = {{Adult; Child; Compartment Syndromes/etiology; Diplopia; Eye Injuries/complications; Humans; Orbital Fractures/complications}},
  language     = {{swe}},
  month        = {{12}},
  pages        = {{1--5}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Lakartidningen}},
  title        = {{Viktigt att agera snabbt vid traumatiska orbitala tillstånd : Risk för permanent synnedsättning och dubbelseende vid felaktig eller fördröjd handläggning}},
  url          = {{https://lakartidningen.se/wp-content/uploads/2021/12/21-141.pdf}},
  volume       = {{118}},
  year         = {{2021}},
}