Abstract
The management of orbital fractures in children and adolescents is little reported in the literature, considering that orbital fractures can cause functional problems such as enophthalmia, diplopia and aesthetic deformities. The aim of this study is to review the literature and report three clinical cases, corroborating with professional experience, about the different management of orbital fractures in adolescents, approaching the advantages, disadvantages and complications. Among the different fractures of the orbital floor, the techniques of interposition of autograft of the anterior wall of the maxillary sinus, suture for anchoring the periosteum, and reduction and stabilization of the fracture by means of titanium mesh fixation were performed. The choice of material and technique depends on the surgeon's preference, access and availability of materials. Regardless of which technique and material is used, and complete removal of the herniated tissue is fundamental to obtain satisfactory results.
Highlights
Orbital trauma can cause several functional disorders such as enophthalmia and diplopia, as well as aesthetic deformities
Little has been achieved in the pediatric population, with a limited amount of information on surgical and non-surgical indications, the timing of the approach and techniques indicated, which leads the surgeon to choose one or another option based on his preferences and previous experiences (Gerbino et al, 2010; Heggie et al, 2015; Wei & Durairaj, 2011)
This study aims to review the literature on three different techniques for the management of orbital fractures in adolescents, discussing the advantages, disadvantages, and complications, based on professional experience exemplified by a technical review of three clinical cases
Summary
Orbital trauma can cause several functional disorders such as enophthalmia and diplopia, as well as aesthetic deformities. Children have some natural protective factors, especially those younger than 7 years old, such as thicker sinus walls, a greater bone elasticity, a greater amount of cheek fat, and a proportionally smaller and flatter facial middle third (Hink & Durairaj, 2013; Koltai et al, 1995). When this type of fracture occurs, it is usually related to low-velocity, high-force trauma (Grant 3rd et al, 2002), caused by sports and automotive accidents, and assaults (Chi et al, 2010; Heggie et al, 2015). Little has been achieved in the pediatric population, with a limited amount of information on surgical and non-surgical indications, the timing of the approach and techniques indicated, which leads the surgeon to choose one or another option based on his preferences and previous experiences (Gerbino et al, 2010; Heggie et al, 2015; Wei & Durairaj, 2011)
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
