Prof.USHA SINGH

, DR. URMILA KUMARI

Abstract

Surgical management of trap door type orbital floor fracture can be a challenging task in a child. It may be complicated by more than one site involvement and severe functional loss. Orbital imaging may be suboptimal and non-specific regarding number of sites, locations, and size of fracture. We present surgical video of orbital floor fracture repair in a 13-year-old child who presented late with symptoms of restricted movement and diplopia. It shows stepwise approach to the orbital floor exposure, exploration and identification of independent dual fracture sites. Escape of altered blood, release of muscles, necrotic fat tissue, and repair with high density polyethylene sheet implant. Orbital fracture with entrapped tissue should be released early with the goal of avoiding diplopia in long run.