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Updated: Nov 6, 2025
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
416
[Orbital Fractures in Children].
K Perceová1, Š Bibrová2, M Urík1
1Klinika dětské otorinolaryngologie, Fakultní nemocnice Brno a Lékařská fakulta Masarykovy univerzity, Brno.
Summary
Pediatric orbital fractures are challenging due to growth. Both surgical and non-operative treatments yield excellent results, with a case-by-case approach recommended for optimal outcomes in children.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Traumatology
Background:
- Facial skeleton fractures in children present unique diagnostic and treatment challenges due to ongoing skeletal development.
- Orbital fractures in pediatric patients require careful consideration of growth dynamics and potential long-term effects.
Purpose of the Study:
- To analyze the incidence, causes, and treatment outcomes of orbital fractures in pediatric patients.
- To evaluate the effectiveness of both surgical and non-operative management strategies for pediatric orbital fractures.
Main Methods:
- A 9-year retrospective study of pediatric patients diagnosed with orbital fractures at University Hospital Brno.
- Analysis of patient demographics, injury causes, age distribution, and treatment modalities (surgical vs. non-operative).
Main Results:
- A total of 47 pediatric patients (8 girls, 39 boys) were treated for orbital fractures between 2010 and 2018.
- 35 patients received non-operative treatment, while 12 underwent surgery.
- A slight, statistically insignificant trend indicated an increase in injuries with patient age and calendar year.
Conclusions:
- Both surgical and non-operative treatments for pediatric orbital fractures achieve excellent long-term results.
- Non-operative management is preferred when feasible; surgery is indicated for extensive fractures or significant soft tissue damage.
- Specialized care by experienced pediatric specialists is crucial for optimal management of orbital fractures in children.
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