[Children orbital floor fracture: retrospective study, about 34 cases]

Area of Science:

• Ophthalmology
• Pediatric Surgery
• Trauma Surgery

Background:

• Orbital floor fractures constitute 30% of pediatric facial fractures.
• Nausea and vomiting are stronger indicators of entrapment than local signs.
• Entrapment and diplopia are more common in adults.

Purpose of the Study:

• To review clinical and radiological findings, management, and outcomes of orbital floor fractures in children.
• To clarify the optimal timing for surgical intervention.

Main Methods:

• Retrospective study of 34 children with isolated orbital floor fractures.
• Analysis of clinical, radiological, ophthalmological, surgical data, and outcomes.

Main Results:

• Mean patient age was 9.4 years.
• Entrapment fractures (81% fat or muscle) were most common; 15% lacked local trauma signs.
• 27% experienced residual diplopia, particularly after trap-door fractures with muscle entrapment and delayed surgery (>24 hours).

Conclusions:

• Trap-door orbital fractures are prevalent in children.
• Clinical diagnosis can be challenging.
• Surgical treatment within 24 hours is recommended to minimize complications like residual diplopia.