Abstract
A 9-year-old girl was referred to a trauma centre with severe head injury. 3D CT scan revealed depressed fracture involving the frontal bone on the right side, right parietal bone, and right superior orbital margin, right lamina papyracea. The frontal table was managed conservatively and open reduction and internal fixation was done for the supraorbital blow in to correct the ocular dystopia. The clinical course, possible mechanism, and management of the patient are discussed.
Highlights
Head injury is a common sequelae in the road traffic accident
An estimated 1% to 9% of facial fractures can involve the supraorbital rims and the anterior table of the frontal sinus, and many supraorbital rim fractures are associated with other forms of craniomaxillofacial injury [1,2,3,4,5,6, 13]
The introduction of rigid fixation into craniomaxillofacial fracture management revolutionized the treatment of orbital injuries [23]
Summary
Head injury is a common sequelae in the road traffic accident. Fractures of the supraorbital region are rare and are frequently associated with high-energy craniomaxillofacial trauma. An estimated 1% to 9% of facial fractures can involve the supraorbital rims and the anterior table of the frontal sinus, and many supraorbital rim fractures are associated with other forms of craniomaxillofacial injury [1,2,3,4,5,6, 13]. Many of these patients have multisystem injuries, most of which are neurologic [16, 17]. The introduction of rigid fixation into craniomaxillofacial fracture management revolutionized the treatment of orbital injuries [23]
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