| Title: | An 11-year multicentric surgical experience on pediatric orbital floor trapdoor fracture : a World Oral Maxillofacial Trauma (WORMAT) project |
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| Authors: | ID Cena, Paolo (Author)
ID Raco, Immacolata (Author)
ID Roccia, Fabio (Author)
ID Sobrero, Federica (Author)
ID Dediol, Emil (Author)
ID Kos, Boris (Author)
ID Bottini, Gian Battista (Author)
ID Goetzinger, Maximilian (Author)
ID Samieirad, Sahand (Author)
ID Oliveira Gorla, Luis Fernando de (Author)
ID Vesnaver, Aleš (Author)
ID Birk, Anže (Author), et al. |
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| Files: |  PDF - Presentation file, download (535,23 KB)
MD5: A248EB5DED0141E30EAD0AD9B1A7490F
 URL - Source URL, visit https://www.sciencedirect.com/science/article/pii/S2468785524002969
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | Introduction: Trapdoor fractures of the orbital floor occur almost exclusively in the paediatric population. Despite being widely discussed in the literature, their management remains controversial. The objective of this retrospective study was to analyse the surgical experiences on paediatric trapdoor fractures in the maxillofacial centres participating in the WORMAT project. Materials and methods: 14 centres collected data for patients aged ≤16 years operated between January 2011 and December 2022. The demographic, cause and type of fracture, timing from injury to surgery, surgical approach, type of floor repair and outcomes were recorded. Diplopia, surgical wound infection, hardware loosening and dysesthesia in the infraorbital nerve area were recorded at follow-up. Results: 43 patients were included: 25 children (0−12 y) and 18 adolescents (13−16 y) (mean age, 11.1 years). Surgical treatment was performed within 24 h in 51 % of the patients, within 24−72 h in 33 %, and beyond 72 h in the remaining. The orbital floor was repaired with a resorbable implant/membrane in 63 % of the patients, open reduction without an implant in 30 %, a titanium mesh implant in 3 adolescent patients. At follow-up (mean 16.3 months), 14 patients had residual diplopia in the upper fields, only two of these resolved within 6 months. Discussion: A tendency toward an increased incidence of postoperative diplopia with longer intervals between trauma and surgery was observed. This study showed different choices regarding the material placed on the floor, with a preference for open reduction without implants in children, compared to the use of resorbable implants or membranes in adolescents. |
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| Keywords: | adolescent, child, diplopia, internal fracture fixation, orbit, outcome |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2025 |
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| Number of pages: | str. 1-5 |
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| Numbering: | Vol. 126, issue 1, ǂarticle no. ǂ102033 |
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| PID: | 20.500.12556/DiRROS-29499  |
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| UDC: | 616.31 |
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| ISSN on article: | 2468-7855 |
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| DOI: | 10.1016/j.jormas.2024.102033 |
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| COBISS.SI-ID: | 279025155 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 22. 5. 2026;
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| Publication date in DiRROS: | 22.05.2026 |
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| Views: | 116 |
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| Downloads: | 68 |
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