{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:55:55Z","timestamp":1787032555980,"version":"build-2736575974"},"reference-count":13,"publisher":"Korean Cleft Palate-Craniofacial Association","issue":"3","license":[{"start":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:00:00Z","timestamp":1687219200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-acfs.org"],"crossmark-restriction":true},"short-container-title":["Arch Craniofac Surg"],"published-print":{"date-parts":[[2023,6,20]]},"abstract":"<jats:p>White-eyed blowout fractures with extraocular muscle (EOM) entrapment necessitate emergency surgical intervention. However, even after surgery, diplopia or EOM motion limitations may persist due to the incomplete reduction of soft tissue herniation caused by inadequate dissection or unresolved muscle strangulation. In this report, we present a case of postoperative EOM movement limitation in a 5-year-old girl who experienced recurrent restriction in the upward gaze of her right eye 14 days after surgery. Instead of revision surgery, the patient was treated with targeted EOM exercises focusing on the inferior rectus muscle and inferior oblique muscle. The patient was instructed to slowly move her pupils from the central point to the upper and outer sides, then in a straight line from the central point to the lower and inner sides before returning to the center point. On the 28th postoperative day, 2 weeks after initiating the exercises, the patient\u2019s EOM motion fully recovered. This case highlights the effectiveness of EOM exercises as a non-surgical treatment approach for improving recurrent EOM movement limitations in the absence of soft tissue herniation following surgical management of blowout fractures in children.<\/jats:p>","DOI":"10.7181\/acfs.2023.00178","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:16:48Z","timestamp":1688084208000},"page":"133-138","update-policy":"https:\/\/doi.org\/10.7181\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Exercise rehabilitation for recurrent extraocular muscle movement limitation after pediatric blowout fracture surgery: a case report"],"prefix":"10.7181","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1386-9293","authenticated-orcid":true,"given":"Jeong Do","family":"Park","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2547-4558","authenticated-orcid":true,"given":"Syeo Young","family":"Wee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1787-9715","authenticated-orcid":true,"given":"Se Young","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4182","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200309000-00012"},{"key":"ref2","first-page":"313","volume-title":"Orbital blow-out fractures in children: characterization and surgical outcome","author":"Wang","year":"2010"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2023.01.004"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjt054"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1080\/01676830701519374"},{"key":"ref6","volume-title":"","author":"Butterworth","year":"2018"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.2147\/imcrj.s87985"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1333880"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200202000-00011"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.7181\/acfs.2020.00640"},{"key":"ref11","first-page":"e5121","volume-title":"Forced duction training: a potential key point for recovery in pediatric patients with trapdoor fracture","author":"Li","year":"2016"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1177\/0300060519893846"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00002341-200005000-00004"}],"container-title":["Archives of Craniofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-acfs.org\/upload\/pdf\/acfs-2023-00178.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-acfs.org\/journal\/view.php?doi=10.7181\/acfs.2023.00178","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-acfs.org\/upload\/pdf\/acfs-2023-00178.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T03:47:50Z","timestamp":1688528870000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-acfs.org\/journal\/view.php?doi=10.7181\/acfs.2023.00178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,20]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"URL":"https:\/\/doi.org\/10.7181\/acfs.2023.00178","relation":{},"ISSN":["2287-1152","2287-5603"],"issn-type":[{"value":"2287-1152","type":"print"},{"value":"2287-5603","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,20]]},"assertion":[{"value":"2023-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-20","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-20","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}