Jumpei Kato, Keisuke Onoda*, Ryousuke Doi, Shunsuke Hatakenaka, Tomihiro Wakamiya, Masahiro Indou, Kimihiro Nakahara, Tatsuya Tanaka, Takashi Agari, Takashi Sugawara, Kazuaki Shimoji, Eiichi Suehiro, Hiroshi Itokawa and Akira Matsuno

Department of Neurosurgery, School of Medicine, International University of Health and Welfare, Narita Hospital, Narita, Japan

*Corresponding Author: Keisuke Onoda, Department of Neurosurgery, School of Medicine, International University of Health and Welfare, Narita Hospital, Narita, Japan.

Received: February 23, 2026; Published: March 31, 2026

Abstract

Subperiosteal orbital hematoma (SOH) is a rare yet potentially sight-threatening condition in children. Treatment options vary from observation to needle aspiration and surgical evacuation. A previously healthy 13-year-old boy experienced gradual swelling in his left orbit following a minor injury. Despite monitoring, proptosis, diplopia, and visual deterioration worsened over a 10-day period. CT and MRI scans indicated a sizable superior SOH without any fractures or signs of a subacute hematoma. A minimally invasive small craniotomy was conducted via an incision along the upper eyelid crease, excising a 2 cm × 2 cm portion of the superior orbital rim. The hematoma and its capsule were entirely excised under microscopic observation. The symptoms promptly resolved with no subsequent recurrence. As visual impairment advances or suspicion of organization arises, early surgical decompression with capsule excision proves to be effective and long-lasting, especially for superior SOH, where aspiration alone may be inadequate. Removal of the orbital rim aids in secure and thorough evacuation, while maintaining favorable cosmetic results.

Keywords: Subperiosteal Orbital Hematoma; Pediatric Orbital Trauma; Surgical Decompression; Craniotomy; Visual Impairment

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Citation

Citation: Keisuke Onoda., et al. “A Case of Pediatric Subperiosteal Orbital Hematoma Following Minor Facial Trauma". Acta Scientific Neurology 9.4 (2026): 08-11.

Copyright

Copyright: ©2026 Keisuke Onoda., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.