3-year-old Xiao Mengmeng (pseudonym), was accidentally hit on the head by an adult's elbow while playing with her family one day. After Xiao Mengmeng cried for a while, the adults seemed to have no problem seeing the child, so they didn't take it seriously.
But after that, Mengmeng's family discovered something wrong with Mengmeng. Mengmeng began to tilt her head, and she couldn't change it. The adults were anxious and quickly took their children to seek medical treatment.
Something strange happened. Xiao Mengmeng had examinations in several hospitals, but after examinations, Mengmeng's brain and neck were normal and no problems were found.
Xiao Mengmeng kept tilting her head, seeing that it had been almost a month since time passed, and her family was also very anxious.
After a friend introduced, Xiao Mengmeng's family brought her children to the Ophthalmology Orbital Disease Professional Group of Xinhua Hospital for treatment, and they also brought CT and MRI films in various parts.
In a thick pile of imaging films, after careful identification, Director Chen Li of the Orbital Professional Group discovered the flaw. On the CT of one of the heads, you can vaguely see that Xiao Mengmeng's left under-orbital wall seemed to have fracture characteristics, and there seemed to be a trace of soft tissue inlay in that part. Combined with the previous physical examination of Xiao Mengmeng, Xiao Mengmeng's left eye cannot rotate upward normally. The reason why Xiao Mengmeng tilted her head was probably caused by a fracture of the left orbit.
To be cautious, the CT room of Xinhua Radiologic Department has made three-dimensional reconstructions of the children's eye sockets. The thin layer scan locked the location of the lesion—it was a slight fracture of the lower orbital wall of the left eye, causing intraorbital soft tissue to become incarcerated.
found the cause and found a cure. Next, the orbital professional group of the ophthalmology department of Xinhua Hospital performed a revision surgery on Xiao Mengmeng for left orbital fracture. During the operation, you can see the fracture end of the infraorbital wall, where the tissue in the orbit is tightly stuck. Reaffirmed the previous judgment again.
The surgery went very smoothly. After using the unique orbital surgery method of ophthalmology to relieve the incarceration of the fracture, Xiao Mengmeng's left eye could be rotated up the next day after the operation. In less than a month, Xiao Mengmeng's tilted head completely disappeared.
Orbital fractures in children often belong to green branch fractures . In essence, "green branches" are borrowed, which refers to the phenomenon of bending but not breaking like the green and tender branches of a plant. Compared with adults, children's bones are rich in organic matter, and the outer membrane wrapped around them is relatively thick, with better elasticity and toughness, and will not be easily broken. Once a violent state is encountered, the fracture caused is consistent with the phenomenon of "breaking and continuous" in the plant, so in clinical orthopedic treatment, this phenomenon is called a green branch fracture.
The fracture of the green branch in the orbital area is often accompanied by the phenomenon of adjacent tissue intact. This is because the tissue in the orbit is relatively loose and it is easy to be stuck by the fracture end that is "breaking but not broken", resulting in eye movement disorders . At this time, surgical intervention should be performed as soon as possible to loosen the inlaid tissue and separate it from the fracture end until the fracture heals itself.
Eye movement disorders caused by orbital fractures in children often cause double vision. However, because the child is too young to describe clearly, and from the outside of the face, some babies may not even have subcutaneous blood stasis, which often leads to clinical misdiagnosis; they even mistakenly think that there is something wrong with the child's neck and misdiagnosis occurs.
The special nature of orbital disease lies in the fact that there is a cross between multiple disciplines and multiple sub-professionals. It often overlaps with the diagnosis and treatment of neurology, otolaryngology, maxillofacial surgery, Oncology, Plastic Surgery, Plastic Surgery, Diagnostics, and Plastic Surgery. Its diagnostic methods are inseparable from the strong support of radiology, ultrasound, pathology and other disciplines. And its surgical methods rely on the escort of anesthesia and surgical operating room systems.
is rooted in the orbital disease major in the ophthalmology department of Xinhua Hospital. Benefiting from the strong comprehensive strength and extensive pediatric diagnosis and treatment foundation of Xinhua Hospital, the orbital diagnosis and treatment technology can be developed more comprehensively and better serve the majority of childhood patients.
National Day holiday is approaching. I would like to remind all mothers and dads to pay attention to the safety of their babies. If an accident occurs, you must seek medical treatment in time to avoid delaying the best treatment period.
Department Introduction
Shanghai Xinhua Hospital was founded in 1958 by Professor Lu Daoyan, one of the founders of ophthalmology in my country. Since 2007, under the leadership of Professor Zhao Peiquan, a famous domestic expert on adult and pediatric vitreous diseases, through leapfrog development, it has become one of the largest centers for fundus and pediatric eye diseases in Shanghai and even the country. Currently, undergraduate and junior college is a key discipline in Shanghai, and the Center for Diagnosis and Treatment of Retinopathy and Pediatric Ophthalmology Disease of Premature Baby College of Medicine of Shanghai Jiaotong University. The number of outpatients in the annual number of outpatients reaches more than 230,000, and the number of inpatient surgeries is more than 6,000.
Medical features include: diabetic retinopathy, complex retinal detachment, senile macular degeneration, minimally invasive surgical treatment of macular diseases; screening and comprehensive prevention and treatment systems for premature infants, diagnosis and treatment of vitreous retinopathy in various infants and young children; treatment of various complex strabismus and postoperative visual function reconstruction, evaluation of infant vision and early rehabilitation; surgery of congenital cataracts and postoperative visual function reconstruction, complex cataract surgery; diagnosis and treatment of refractory glaucoma; comprehensive treatment of intraocular tumors; refractive correction surgery; diagnosis and treatment of various difficult diseases such as tears, eye surface, corneal, and corneal, and various types of corneal transplant surgery, personalized comprehensive treatment of dry eyes; treatment of complex eye trauma; diagnosis and treatment of orbital and lacrimal tract diseases and eye plastic surgery; diagnosis and treatment of uveitis, etc.
