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Related Experiment Video

Updated: Jun 1, 2026

Three-Dimensional Reconstruction of Orbital Fractures

Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

Pediatric orbital floor fractures.

Leslie A Wei¹, Vikram D Durairaj

¹Department of Ophthalmology, University of Colorado, School of Medicine, Denver Colorado, USA.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|May 21, 2011

Summary

Pediatric orbital floor fractures often present as trapdoor fractures with soft tissue incarceration, causing restricted eye movement. Early surgical repair within 48 hours improves outcomes for children with these injuries.

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Three-Dimensional Reconstruction of Orbital Fractures

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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction

Published on: December 5, 2025

Area of Science:

Ophthalmology
Pediatric Surgery
Trauma Surgery

Background:

Orbital floor fractures in children have unique clinical presentations and management considerations.
Understanding these differences is crucial for optimal patient outcomes.

Purpose of the Study:

To summarize the unique aspects of pediatric orbital floor fractures regarding clinical presentation, management, and outcomes.
To provide insights into the effective treatment of these injuries in young patients.

Main Methods:

A comprehensive literature search was conducted using PubMed for English-language articles on pediatric orbital floor fractures.
25 relevant studies were included after excluding complex fractures, case reports, and studies not analyzing pediatric patients separately.

Main Results:

Inferior trapdoor fractures with soft tissue incarceration are most common (27.8%-93%), often presenting with restricted extraocular motility and diplopia (44%-100%).
Minimal external trauma signs are typical, alongside symptoms like nausea and vomiting (14.7-55.6%).
Early surgical repair (within 2-5 days) is associated with faster recovery and better postoperative motility.

Conclusions:

Prompt surgical intervention within 48 hours of diagnosis is recommended for pediatric orbital floor fractures with symptomatic diplopia and confirmed soft tissue entrapment.
Early surgical repair leads to improved postoperative outcomes.
Further long-term prospective studies are needed to fully characterize these fractures in children.