Retrospective Analysis of the Outcomes in Orbital Floor Fractures: Guidelines for Better Strategic Management | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 9, Volume 45, Issue 1, January 2021, Pages 49-58 PDF (11.38 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2021.165828 | ||
| Authors | ||
| Hossam Elgayar* 1; Omar Osama Shouman1; Mostafa M. Abdelhalim1; Ashraf Abbas2; Ahmed M. Zeina1 | ||
| 1The Department of Plastic Surgery, Faculty of Medicine, Mansoura University | ||
| 2The Department of General Surgery, Faculty of Medicine, Mansoura University | ||
| Abstract | ||
| Aim: Orbital trauma is considered one of the most common maxillofacial traumas with functional and cosmetic impact to eye globe. The main objective is to establish a roadmap < br />for the management of orbital floor fractures. Patients and Methods: One hundred and seventy-three patients were selected from the database of Mansoura University Hospitals with orbital floor fractures who were treated at the Department of Plastic & Reconstructive Surgery Department over past 4 years. Cases were retrospectively reviewed by preoperative clinical findings, management, surgical approaches, and sequelae. Authors evaluated timing and indication of surgical intervention, surgical outcomes, complications, and materials used for orbital reconstruction. Results: In total, there were (173) cases of orbital fractures with average age of (23.14) years. The leading cause of these fractures was motor traffic accident (64.7%). Pure blow-out fractures represent 25% of cases while fractures of inferior orbital rim alone were 45% of cases. Inferior orbital rim associated with orbital fractures were 30%. 57.2% of patients were managed surgically while 42.8% patients were managed conservatively. Conchal graft was used in 19 cases for floor reconstruction while 15 cases were managed by titanium mesh. In the follow-up, 10 patients still complain of enophthalmos, while 7 patients still complain of diplopia. Conclusions: Better postoperative results were presented in cases managed immediately or within two weeks surgically, A guideline for choice of effective protocol for management was developed. | ||
| Keywords | ||
| Diplopia; Enophthalmos; Inferior orbital wall; Infraorbital paranesthesia; Orbital floor fracture; Ocular motility disorders | ||
| References | ||
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