J Korean Ophthalmol Soc.  2004 Nov;45(11):1945-1949.

A Case of Canine Tooth Syndrome due to Blow-out Fracture

• Kwon HG
• Park MR
• Lee SY
• Lee YC

Abstract

PURPOSE
This is the first report of canine tooth syndrome associated with blow-out fracture in the Korean literature. METHODS: We examined a 13-year-old male patient complaining of intermittent ocular pain who had a past history of blow-out fracture in the left eye at the age of 6 years. He showed left hypertropia at the primary position and an inability to elevate the left eye in adduction. Orbital CT showed displacement of the superior portion of the ethmoid bone that comprises the medial aspect of the orbit wall and entrapment of the superior oblique muscle in association with the misaligning lesion. In conjunction with orbit CT findings and physical examination, we were able to make a diagnosis of Canine tooth syndrome. RESULTS: We anticipated surgical difficulty due to the surgical field having a lot of scar formation in situation 7 years after the trauma. In this case, we chose observation as our current treatment modality as this was not a case suitable for surgery.

Keyword

Blow-out fracture; Canine tooth syndrome; Orbital CT

MeSH Terms

Adolescent
Cicatrix
Cuspid*
Diagnosis
Ethmoid Bone
Humans
Male
Orbit
Orbital Fractures*
Physical Examination
Strabismus