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

Kwon, Hyung Goo; Park, Mi Ra; Lee, Se Youp; Lee, Young Chun

Case Report

Journal of the Korean Ophthalmological Society 2004;45(11):1945-1949.
Published online November 1, 2004.

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

Hyung Goo Kwon, Mi Ra Park, Se Youp Lee, Young Chun Lee

¹Department of Ophthalmology, Uijongbu St.Mary's Hospital, College of Medicine, The Catholic University of Korea, #65-1 kum-oh dong, Uijongbu, Kyung ki, Korea. yclee@catholic.ac.kr
²Department of Ophthalmology, Dongsan medical center, College of Medicine, Keimyung University of Korea, Deagu, Korea.

안와골절에 의한 송곳니증후군 1예

권형구 ( Hyung Goo Kwon ) , 박미라 ( Mi Ra Park ) , 이세엽 ( Se Youp Lee ) , 이영춘 ( Young Chun Lee )

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.

Key Words: Blow-out fracture;Canine tooth syndrome;Orbital CT