Orbital trauma has an important role on aesthetics and function in the craniofacial area. Due to its complex anatomy; sequels are a permanent risk, thats why this lesion always represents a surgical challenge.

Materials and methods : A statistical analysis was performed in our trauma Hospital, from the year 2009 to 2011 all facial traumas were included. Patients were classified according to their aetiology, age, gender and type of fracture. The ones involving orbital cavity were classified as surgical or not surgical.

Results : From a total of 283 facial trauma patients received in a 2 years period (2009–2011). 69% had a diagnosis of one or more fractures involving the orbital cavity and 77% of them were resolved surgically.

Discussion : In this presentation we discuss our most predominant surgical indications, surgical approaches, special intraoperative considerations, time of surgery, materials, type of implants (simple, pre-formed or customized), sequels and complications.

Conclusions : This data show us the predominance of this pathology as a public health problem and the necessity of a low morbidity and early treatment.