Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제46권6호
  • /
  • Pages.428-434
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  • 2020
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Oculocardiac reflex in an adult with a trapdoor orbital floor fracture: case report, literature review, and differential diagnosis

  • Brasileiro, Bernardo Ferreira (Kentucky Clinic) ;
  • Sickels, Joseph E. Van (Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Kentucky) ;
  • Cunningham, Larry L. Jr. (Division of Oral and Maxillofacial Surgery, College of Dentistry, University of Kentucky)
  • 투고 : 2018.10.09
  • 심사 : 2018.11.17
  • 발행 : 2020.12.31
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초록

Orbital floor blowout fractures can result in a variety of signs and symptoms depending on the severity of the bone defect. Large defects often result in enophthalmos and restriction of ocular movement; yet the timing of surgery can be delayed up to two weeks with good functional outcomes. In contrast, an orbital trapdoor defect with entrapment of the inferior rectus muscle usually elicits pain with marked restriction of the upward gaze and activation of the oculocardiac reflex without significant dystopia or enophthalmos. When autonomic cardiac derangement is diagnosed along with an orbital floor fracture, it has been suggested that the fracture should be treated immediately. Otherwise, it will result in continued hemodynamic instability and muscular injury and may require a second surgery. This article reports the management of an unusual presentation of a trapdoor blowout orbital floor fracture surgery with oculocardiac response in an adult, with emphasis on its pathophysiology, management, and differential diagnosis.

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참고문헌

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피인용 문헌

  1. Oculocardiac reflex: an unusual trigger during dental surgery vol.47, pp.4, 2020, https://doi.org/10.5125/jkaoms.2021.47.4.335
  2. Adult Orbital Fractures with Extraocular Muscle Entrapment vol.2, pp.3, 2020, https://doi.org/10.1177/27325016211025049