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

• Kim MJ
• Kwon JH
• Kim JS
• Park TJ

• KMID: 2457193
• DOI: http://doi.org/10.3342/kjorl-hns.2018.00206

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

MeSH Terms

Brain Concussion
Child
Craniocerebral Trauma
Diagnosis
Humans
Male
Nausea
Orbit
Orbital Fractures
Prognosis
Vomiting