ArticleCureus2026
Microscope-Assisted Excision of CT-Occult Inferior Rectus Adhesions After Pediatric Orbital Floor Trapdoor Fracture Repair: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We report the case of a 12-year-old competitive athlete who presented with persistent ocular motility restriction and diplopia following surgical repair of an orbital floor trapdoor fracture. Although the initial surgery was performed at another institution on the day following the injury and postoperative CT confirmed the successful release of tissue entrapment, her clinical symptoms persisted (elevation restriction grade -3). Revision orbital surgery was performed 53 days after the initial injury. Pre-incision forced duction testing (FDT) confirmed mechanical tethering. Under microscopic guidance, meticulous adhesiolysis and scar excision were conducted to completely remove dense fibrotic-appearing adhesions on the orbital floor and the inferior surface of the inferior rectus muscle. Intraoperative FDT immediately converted to negative. Six months postoperatively, ocular motility completely resolved to grade 0, and the threshold for diplopia on the binocular single vision field improved substantially from 25° to 40°, allowing her to return to competitive sports without functional impairment. The meticulous observation and excision of these CT-occult scar-like adhesions using an operating microscope contributed significantly to the successful functional recovery. This case demonstrates that microscopic scar excision can be an effective intervention for persistent motility restriction after trapdoor fracture repair, even when residual entrapment has been resolved on CT.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.