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Updated: Feb 24, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Pediatric orbital blowout fractures.
Stella Y Chung1, Paul D Langer
1Institute of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
Current Opinion in Ophthalmology
|August 11, 2017
Summary
Pediatric orbital blowout fractures often resolve conservatively. Trapdoor fractures require prompt surgical repair, while other cases may be managed non-surgically with excellent outcomes.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Trauma Surgery
Background:
- Orbital blowout fractures are common in children.
- Management guidelines are essential for optimal outcomes.
Purpose of the Study:
- Review recent literature on pediatric orbital blowout fractures.
- Provide evidence-based management guidelines.
Main Methods:
- Literature review of pediatric orbital blowout fractures.
- Analysis of surgical outcomes and conservative management.
Main Results:
- Improper implant placement is a common issue in revision surgeries.
- Most pediatric orbital fractures with diplopia show spontaneous recovery.
- Trapdoor fractures necessitate urgent surgical intervention.
Conclusions:
- Conservative management is suitable for many pediatric orbital fractures.
- Prompt surgical repair is recommended for trapdoor fractures within 24 hours.
- Delayed enophthalmos can be addressed surgically if needed.
- Transconjunctival incision is preferred for surgical repair.
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