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Orbital trauma is considered one of the most commonmaxillofacial traumas with functional and cosmetic impactto eye globe. The main objective is to establish a roadmap < br />for the management of orbital floor fractures.

One hundred and seventy-threepatients were selected from the database of Mansoura UniversityHospitals with orbital floor fractures who were treatedat the Department of Plastic & Reconstructive Surgery Departmentover past 4 years. Cases were retrospectively reviewedby preoperative clinical findings, management, surgical approaches,and sequelae. Authors evaluated timing and indicationof surgical intervention, surgical outcomes, complications,and materials used for orbital reconstruction.

In total, there were (173) cases of orbital fractureswith average age of (23.14) years. The leading cause of thesefractures was motor traffic accident (64.7%). Pure blow-outfractures represent 25% of cases while fractures of inferiororbital rim alone were 45% of cases. Inferior orbital rimassociated with orbital fractures were 30%. 57.2% of patientswere managed surgically while 42.8% patients were managedconservatively. Conchal graft was used in 19 cases for floorreconstruction while 15 cases were managed by titaniummesh. In the follow-up, 10 patients still complain of enophthalmos,while 7 patients still complain of diplopia.

Better postoperative results were presentedin cases managed immediately or within two weeks surgically,A guideline for choice of effective protocol for managementwas developed.