title: A reliable surgical technique for the management of growing fractures of the frontal bone involving the orbit.
abstract: OBJECTIVE
  Growing fractures involving the orbit occur infrequently. Due to the risk of neurological trauma and the ophthalmic sequelae of progressive intraorbital expansion of the fracture, surgical management is indicated. There is no accepted standard in the approach to the surgical management of these patients. The aim of this paper is to describe a reliable technique for the repair of growing fractures and discuss the long-term outcome.
  
  
  METHODS
  We present two cases in which a technique using Norian CRS® (Craniofacial Repair System) fast set putty over a Medpor® scaffold was used to repair a growing fracture.
  
  
  RESULTS
  This technique provides a secure repair with a good functional and cosmetic outcome.
  
  
  CONCLUSIONS
  Growing fractures occur in the paediatric population so it is important to ensure that the repair does not restrict or adversely affect future bone growth. One case has been followed-up for over 10 years and has maintained normal growth.
authors.affiliation: Manchester Royal Eye Hospital, Ophthalmology, Manchester, United Kingdom. benwhile@doctors.org.uk
authors.forename: Benjamin
authors.initials: B
authors.lastname: While
authors.forename: Konal
authors.initials: K
authors.lastname: Saha
authors.forename: Raymond
authors.initials: R
authors.lastname: Radford
authors.forename: John
authors.initials: J
authors.lastname: Thorne
authors.forename: Brian
authors.initials: B
authors.lastname: Leatherbarrow
mesh_terms: D000058:Accidental Falls; D018450:Disease Progression; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D005624:Frontal Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D007223:Infant; D009917:Orbital Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011095:Polyethylenes; D014057:Tomography, X-Ray Computed
chemical_list: C084562:Medpor; D011095:Polyethylenes