Korean J Otorhinolaryngol-Head Neck Surg.  2019 Aug;62(8):462-464. 10.3342/kjorl-hns.2018.00206.

A Case of White-Eyed Blowout Fracture

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Maryknoll Medical Center, Busan, Korea. p791216@naver.com
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.

Abstract

The "˜white-eyed' blowout fracture is an orbital injury in children that is often initially misdiagnosed as a head injury because of predominant autonomic features and lack of soft tissue signs. Delays in treatment can lead to morbidity. It has been recommended that children who present with a "˜white-eyed' blowout fracture should have surgery performed within 48 hours of diagnosis, otherwise prognosis is poor. We present a 12-year-old boy who was initially misdiagnosed with a head injury due to the minor appearance of his orbital injury and his presenting complaints of nausea and vomiting.

Keyword

Brain concussion; Head trauma; Orbital fractures
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