Orbital Floor Fractures: Retrospective Study of 29 Cases

Abstract: Objective: To evaluate the epidemiological, clinical, and therapeutic aspects of orbital floor fractures and to assess the outcomes of surgical management.  Methods: Retrospective study of 29 patients hospitalized for orbital floor fracture between January 2018 and September 2024.  Results: The mean age was 37 years (18–60), with a male predominance (sex ratio 3:1). Road traffic accidents were the leading cause (69%). Clinical findings included diplopia (45%), infraorbital hypoesthesia (72%), and enophthalmos (17%). Surgery was performed in 25 cases, mainly through a subtarsal approach with absorbable or non-resorbable implants. Postoperative outcomes were favorable, with improvement in diplopia and minimal residual enophthalmos.  Conclusion: Early diagnosis and appropriate surgical repair are essential to restore ocular motility and facial symmetry, thus minimizing functional and esthetic sequelae.