Abstract

SUMMARY Pediatric orbital fractures may present special problems in diagnosis and treatment that differ from those seen in adults. There is variation in the cause of trauma and the frequency and patterns of orbital and associated fractures. The eventual morphology of the fractured bones that compose the orbit and depend on residual facial growth and the selection from treatment options requires the need for longitudinal follow-up until completion of growth.18, 28 The goal in the management of orbital fractures, whether in children or adults, is early re-establishment of preinjury bony anatomy with fixation that is adequate to allow for bony healing, bone grafting if necessary, and rapid return of normal function with limited morbidity.

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