Pediatric Traumatic Orbital Subperiosteal Hematoma: Case Series With Literature Review
Narrative Responses:
Purpose
To describe five children with posttraumatic orbital subperiosteal hematoma with a relevant literature review.
Methods
A retrospective analysis of five cases with posttraumatic orbital subperiosteal hematoma in pediatric age group and their natural course is presented.
Results
Totally of 28 cases(82% boys)with a mean age of 10(4-17)yrs,27 patients(96%)had a history of blunt trauma.89%were unilaterally involved.Mean interval time between trauma to presentations was10 days.Visual acuity was decreased in 63% of patients which 30% had acompressive traumatic optic neuropathy.17% had a nondisplaced orbital roof fracture.Treatment options were surgical evacuation in 13patients(46%),needle aspiration in 6 cases(21%)and observation in 8 children(28%).
Conclusion
pediatric posttraumatic orbital subperiosteal hematoma typically occurs in the superior orbital wall after blunt trauma. Traumatic optic neuropathy is uncommon. Surgical drainage is a safe option for these patients.