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Overview of Pediatric Orbital Fractures

Joshi, Shivam BS*; Kassira, Wrood MD*; Thaller, Seth R. MD, DMD, FACS

Journal of Craniofacial Surgery: July 2011 - Volume 22 - Issue 4 - p 1330-1332
doi: 10.1097/SCS.0b013e31821c9365
Clinical Studies

Orbital fractures in children are uncommon. The pattern of orbital fractures changes as children age. Although the management of pediatric orbital fractures is evolving, a thorough clinical assessment with computed tomographic scan imaging is essential. Urgent surgical intervention is indicated in cases of entrapment or acute enophthalmos. Entrapment with oculocardiac reflex is common in the white-eyed blow-out or trapdoor fractures. Otherwise, pediatric fractures may be treated conservatively with surveillance. A variety of autogenous and allogenic materials may be used to repair the fractured orbit. Resorbable plating systems are an alternative to rigid metallic fixation and may be used on the developing craniofacial skeleton.

From the *University of Miami Miller School of Medicine and †Division of Plastic and Reconstructive Surgery, DeWitt Daughtry Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida.

Received July 30, 2010.

Accepted for publication August 22, 2010.

Address correspondence and reprint requests to Seth R. Thaller, MD, DMD, FACS, 611 NW 12 Ave, ET 3019, Miami, FL 33136; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD