Abstract

AIM -TO STUDY THE SURGICAL OUTCOME OF FRACTURE FLOOR REPAIR USING SEMIABSORBABLE MESH WITH RELEASE OF INFERIOR RECTUS BACKGROUND -A 9YEAR BOY WITH H/O FALL FROM TREE 1WEEK AGO.PATIENT C/O PAIN WITH RESTRICTED MOVEMENTS IN LE ALONG BINOCULAR DIPLOPIA IN UPGAZE.EXTRA OCULAR MUSCLE EXAM SHOW RESTRICTED ELEVATION MOVEMENT IN LE.ORBITAL MARGIN PALPATION SHOW TENDERENESS OVER LEFT INFERIOR ORBITAL MARGIN.FORCE DUCTION TEST IS POSITIVE, CT & MRI ORBIT SHOW FLOOR FRACTURE OF LEFT BONY ORBIT WITH ENTRAPTMENT OF INFERIOIR RECTUS.PATIENT UNDERWENT LE LATERAL CANTHOTOMY CANTHOLYSIS, TRANSCONJUCTIVAL APPROACH FOR FRACTURE FLOOR REPAIR WITH SEMIABSORBABLE MESH WITH RELEASE OF INFERIOR RECTUS OUTCOME-POST OP IMPROVEMENT OF ELEVATION IN LE ON EXTRA OCULAR MOVEMENT EXAM. PATIENT RELIEVED OF CLINICAL SYMPTOMS ASSOCIATED WITH TRAUMA CONCLUSION- THE BLOWOUT FRACTURE IN KIDS IS A RARE PRESENTATION AND MANAGEMENT POSES A REAL CHALLENGE TO OCULOPLASTY SURGEONS.POST OP RESULTS WITH ADVANCED MESH IS PROMISING.