Comparative Evaluation of Surgical Outcomes in Open Versus ClosedReduction of Inferior Orbital Rim Fractures: A Clinical and RadiologicalPerspective

Background: Fractures of the inferior orbital rim are common midfacial injuries that can significantly impairocular function and facial aesthetics. Treatment typically involves either open or closed reduction, but the choiceof technique can influence both clinical and radiological outcomes. Accurate assessment is essential for optimalpatient management and prognosis.Objective: To evaluate and compare the clinical and radiological outcomes of open versus closed reductiontechniques in the management of inferior orbital rim fractures.Materials and Methods: This prospective observational study will be conducted over a period of 18 months atJNKTMCH, Madhepura. A total of 60 patients diagnosed with unilateral or bilateral isolated inferior orbital rimfractures will be enrolled. Patients will be equally divided into two groups (30 each) based on the treatmentmodality—open or closed reduction. Preoperative and postoperative clinical assessments (e.g., enophthalmos,diplopia, infraorbital numbness) and radiological evaluations using CT scans will be performed. Follow-up willbe conducted at 1 week, 1 month, and 3 months postoperatively.Results: Expected outcomes include comparative data on anatomical reduction quality, functional recovery,complication rates, and patient satisfaction across both treatment modalities. Statistical analyses will be appliedto determine the significance of differences observed.Conclusion: This study aims to provide evidence-based insights into the efficacy of open versus closed reductiontechniques in the management of inferior orbital rim fractures. Findings may guide surgical decision-making andimprove individualized treatment planning.