Abstract 37. Pediatric Orbital Floor Fractures: Clinical and Radiological Predictors of Tissue Entrapment and the Effect of Operative Timing on Ocular Outcomes

RESULTS: The majority of flaps were for lower extremity trauma wounds (74), followed by upper extremity trauma wounds (8), scalp tumor defects (4), and one torso wound. There were 7 flap losses, but of these, 4 were due to noncompliance with postoperative immobilization/elevation orders; excluding these 4 failures for which the NPD was clearly not a factor, the flap success rate was 96.4%. Skin graft healing was uniformly excellent, with the exception of the above 7 cases, as well as 2 graft losses due to disruption during flap takeback, 2 partial graft losses due to infection, and 1 partial graft loss due to hematoma. In only one case (a scalp flap), the NPD was discontinued early, on postoperative day 1, due to inability to maintain a seal.