A delayed endoscopic assisted elevation of pediatric white-eyed blow out fracture: An immediate recovery

Abstract

White-eyed blowout fracture was first described by Jordan et al. is often found in pediatric patients and shown clinically minimal soft tissue signs. White-eyed blowout fracture could manifest as a linear or hinged-like trapdoor deformity. Due to the rarity of these fractures, it possesses a diagnostic challenge that can be easily missed and ultimately lead to delayed intervention and cost the surgeon an optimal time frame for surgical intervention. Better results are found with the early release of entrapments. The authors report a case of a 14-year-old child with a white-eyed blowout fracture treated with elevation and release of entrapped orbital soft tissues by the help of endoscopic light for a full assessment of entrapped soft tissue to prevent incomplete release that can lead to second surgery with higher morbidity. The immediate return of right eye functions highlights the successful management of this case despite a delay in surgical intervention.

Keywords

• White-eyed blowout fracture
• Pediatric
• Endoscopic