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Updated: May 30, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Pediatric orbital fractures
Mitchell A Stotland1, Nicholas K Do
1Craniofacial Anomalies Program, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA. mitchell.a.stotland@hitchcock.org
Insights
Pediatric orbital fractures differ from adult injuries due to unique bone and soft tissue properties. Understanding these features is key for proper assessment and surgical management in children.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Anatomy
Background:
- Orbital fractures in children present distinct clinical features compared to adults.
- Pediatric orbital bone and soft tissue have unique anatomic and mechanical properties influencing injury patterns.
Purpose of the Study:
- To review the epidemiology, anatomy, growth implications, pathomechanics, clinical features, assessment, and surgical management of pediatric orbital fractures.
Main Methods:
- Literature review focusing on pediatric orbital fractures.
- Analysis of anatomical and mechanical properties of pediatric orbital structures.
- Synthesis of clinical presentation and management strategies.
Main Results:
- Pediatric orbital fractures exhibit unique characteristics due to developmental anatomy.
- Growth implications and pathomechanics are critical considerations in pediatric cases.
- Specific clinical features and tailored assessment are necessary for effective management.
Conclusions:
- A comprehensive understanding of pediatric orbital anatomy and biomechanics is essential.
- Effective management requires specialized approaches for pediatric orbital fractures.
- This review synthesizes key aspects for clinicians managing these injuries.
Abstract:
The clinical presentation and management of pediatric orbital fractures have many unique features that differentiate them from orbital injuries encountered in the adult population. An understanding of the particular anatomic and mechanical properties of pediatric orbital bone and soft tissue helps to explain most of these differences. This article reviews the epidemiology, anatomy, growth implications, pathomechanics, particular clinical features, assessment, and surgical management of pediatric orbital fractures.
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