Author Contribution Form

Authors:

Dr Abhishek Kumar Gupta,

Dr Rekha Gupta
Dr Aishwariya Saini
Dr Vashi NARULA

Manuscript Title:

Reconstruction of a Growing Orbital Roof fracture in Pediatric patient using PMMA Graft

This form must be completed and signed by ALL authors contributing to the manuscript

Individual Conflict of Interest: Each author must confirm that there is no financial conflict of interest with any
commercial enterprise whose products are in any way described in the manuscript, except for possible funding in
support of the study as disclosed under “Acknowledgements”. It must be disclosed if (1) an author is full or part-
time employee of a company, (2) an author has an ongoing advisory relationship with a company, (3) an author
has received any financial remuneration in connection with this manuscript, (4) an author or immediate family
member has an equity interest in a company or owns patents licensed to a company. If a conflict of interest is
indicated, a box on the title page of the article will read “Dr. X discloses that he/she has a financial relationship
with company Y.”
Acknowledgements: Any funding by grants or otherwise, as well as any financial, technical, statistical or other
assistance is acknowledged at the end of the text.
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acquisition and analysis, as well as in interpretation of the data and full disclosure of all results, especially if
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study as indicated.
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I agree with the preceding conditions and provide the appropriate information below.

Corresponding Author’s Name: Dr Abhishek Kumar Gupta

Signature: Date: 15/05/2023
Conflict of Interest: No
I had unlimited freedom of investigation: Yes✔
Undisclosed authors have participated in this work: Yes

My contributions to this study included (check all that apply): study design ✔ ; collection of data
✔ ; data analysis/interpretation ✔ ; writing of the manuscript ✔; Others please specify----------------

Author’s Name: Dr Rekha Gupta

Signature: Date: 15/05/2023
Conflict of Interest: No
I had unlimited freedom of investigation: Yes✔
Undisclosed authors have participated in this work: Yes

My contributions to this study included (check all that apply): study design ✔ ; collection of data
✔ ; data analysis/interpretation ✔ ; writing of the manuscript ✔; Others please specify----------------

Author’s Name: Dr Aishwariya Saini

Signature: Date: 15/05/2023
Conflict of Interest: No
I had unlimited freedom of investigation: Yes✔
Undisclosed authors have participated in this work: Yes

My contributions to this study included (check all that apply): study design ✔ ; collection of data
✔ ; data analysis/interpretation ✔ ; writing of the manuscript ✔; Others please specify----------------

Author’s Name: Dr Vashi Narula

Signature: Date: 15/05/2023
Conflict of Interest: No
I had unlimited freedom of investigation: Yes✔
Undisclosed authors have participated in this work: Yes

My contributions to this study included (check all that apply): study design ✔ ; collection of data
✔ ; data analysis/interpretation ✔ ; writing of the manuscript ✔; Others please specify----------------