Chief & Presenting Author: Dr.Deepti P.

Co Author(s): Dr.Krishna Prasad R.

Abstract

Aim-To compare functional outcome between non surgical and surgical management of orbital floor fractures in pediatric age group and to propose a management protocol in pediatric orbital floor fractures(POFF) based on clinical features at presentation. Method-44 children presenting with POFF were classified radiologically as trap door fracture, fracture with incarceration and depressed fracture. Results-33 children(75%) were managed conservatively and 11(25%) underwent surgical exploration via transconjunctival approach. Of 11managed surgically,5were white eyed blow out fracture(WEBOF) requiring immediate surgery. Of 33children managed conservatively, 31(91.30%) recovered motility restriction, 2had persistent diplopia in upgaze, though it was inconsequential. Conclusion- POFF behaves differently in view of distinct healing response with most cases showing gratifying response to conservative management. Gross movement restriction, persistent diplopia,muscle entrapment warrants surgery.