Related Experiment Video
Updated: May 22, 2026
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
[Children orbital floor fracture: retrospective study, about 34 cases]
F Roul-Yvonnet1, N Tabchouri, S Cassier
1Service de chirurgie maxillo-faciale et chirurgie plastique, hôpital d'enfants Armand-Trousseau, groupe hospitalier HUEP, 26 avenue du Docteur-Arnold-Netter, Paris cedex 12, France.
Insights
Orbital floor fractures in children, often trap-door type, require prompt surgical intervention. Early surgery within 24 hours is crucial to prevent persistent double vision (diplopia).
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.
Introduction:
Orbital fractures represent 30 % of children facial fractures. Nausea and vomiting are more predictive of entrapment than local trauma stigmatisms. Entrapment and diplopia are more frequent in adults. Delay for surgery is unclear in literature varying from 6 hours to days. The aim of this study is to summarise the aspects of orbital floor fractures in children with regard to clinical and radiological presentation, management, and outcomes.
Patients And Methods:
We conducted a retrospective study including 34 children presenting isolated orbital floor fracture. Clinical, radiological, ophthalmological, surgical data and outcomes were analyzed.
Results:
Mean age was 9.4 years. In 15% of cases, no local stigmatism of trauma was present. Entrapment fracture was the most frequent, with 81% of fat or muscles entrapment. In all, 27% of the patient had residual diplopia. Residual diplopia developed after trap-door fracture with muscle entrapment and a more than 24 hours delay for surgery.
Conclusion:
Trap-door fracture is frequent in childhood population. Clinical diagnosis can be difficult. However, surgical treatment should be considered before 24 hours to avoid complication as residual diplopia.
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