DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.047

Pages: 785-789

Orbital floor fractures in pediatric patients present unique challenges due to the complex anatomy, ongoing facial growth, and potential for functional and aesthetic sequelae. We report the case of a 13-year-old patient who sustained an orbital floor fracture secondary to blunt trauma. Clinical examination revealed enophthalmos, diplopia on upward gaze, and infraorbital hypoesthesia. Radiological assessment, including computed tomography, confirmed a defect of the right orbital floor. Surgical reconstruction was performed using an autologous iliac crest bone graft, secured with microplates and screws to restore orbital volume and support the globe. Postoperative outcomes demonstrated satisfactory aesthetic and functional results, with resolution of diplopia and recovery of orbital contour. No donor site complications were observed. This case highlights the efficacy of iliac crest bone grafting for orbital floor reconstruction in pediatric trauma, providing a durable and biocompatible solution while minimizing long-term complications. Early intervention and meticulous surgical planning are essential for optimal outcomes in the growing facial skeleton.