ABSTRACT

There was no joint approach on pure pediatric blow-out treatment. Muscle entrapment, restriction of eye movements, diplopia and enophthalmos are the most important indications when deciding whether or not surgical intervention is required. Early surgery can prevent permanent injury, especially in fractures with muscle entrapment.

The mean age of the patients was 9.8 years (range 2 to 17 years). Of those patients, 8 had diplopia, 9 had muscle entrapment and 4 had enophthalmos. Nine of the patients’ fractures were reconstructed with autologous cartilage graft and the remaining three were followed conservatively. The mean follow-up period was 14 months (range 6-36 months) and no complications were observed.

Pure pediatric orbital blow-out fracture patients who were admitted to our clinic between 2012-2015 were included in our study. Age, defect width, defect length, diplopia, enophthalmos and muscle entrapment were assessed.

Pediatric blow-out fracture is not frequently seen but may cause functional loss. Orbital flor fractures with muscle entrapment, inparticular, may cause extra ocular muscle fibrosis and permanent diplopia. In this study our management of pediatric blow-out fracture and results were evaluated.