AI Article Synopsis
- The study aimed to compare the outcomes of early versus late treatment for orbital blow-out fractures using various surgical techniques and measurements.
- In the early treatment group, the majority of complications such as diplopia and orbital invagination were effectively addressed post-surgery, while the late treatment group saw poorer outcomes with some complications worsening.
- Overall, early intervention yielded better results, with fewer complications and the need for reoperations, highlighting the importance of timely surgical treatment for these fractures.
Article Abstract
Objective: To study and compare the operative results of the early and late treatment of orbital blow-out fracture.
Methods: Orbital blow-out fractures were reconstructed and repositioned. Three dimensional measurements, CT scanning, diplopia analysis, Medpor filling of the orbit were used for the operation and the study. The operative results were compared between 15 cases of early and 16 cases of late reconstruction of blow-out fracture.
Results: In the early treatment group, there were 8 cases of diplopia, 15 cases of orbital invagination and 10 cases of disesthesia of the infraorbital nerve. After surgery, diplopia was corrected in 7 cases; invagination was corrected in all the 15 cases; disesthesia of the infraorbital nerve was corrected in 8 cases. In the late treatment group, there were 10 cases of diplopia, 16 cases of orbital invagination and 9 cases of disesthesia of the infraorbital nerve. After surgery, diplopia was corrected in 3 cases, unimproved in 4 cases, aggravated in 2 cases. 5 of them received reoperation of extraocular muscle for diplopia. Orbital invagination was uncorrected in 3 cases. 2 of them were re-operated on. Disesthesia of the infraorbital nerve was unimproved in 2 cases. By comparing the operation results, of the two groups using FISHER accuracy inspection, the significant difference was only in the correction of the double visions (chi 2 = 4.865, P < 0.05).
Conclusion: Early operation for orbital blow-out fracture is easier, with better results, fewer complications and reoperations than the late operation.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Ocular Injuries in Patients with Old Blow-out Fractures Following Blunt Trauma.
Korean J Ophthalmol
January 2025
Department of Ophthalmology, Gil Medical Center, Incheon, Gachon University College of Medicine, Incheon, Korea.
Purpose: To analyze the frequency, and clinical characteristics of ocular injuries in patients with prior blow-out fractures who experience new blunt trauma, and to assess whether old orbital fractures provide a protective effect against subsequent ocular trauma.
Methods: The medical records of 1,315 ocular trauma patients were reviewed. A total of 927 patients who had orbital or facial CT scans and ophthalmologist evaluations were considered.
Radiological Insights of a Complex Orbital Blow-Out Fracture.
Cureus
November 2024
Radiology, NHS, Essex, GBR.
CT is the gold standard for evaluating orbital trauma, providing rapid and detailed imaging of bony structures, soft tissue, and the globe. This is crucial in assessing orbital trauma due to its potential to cause significant impairment of ocular function. This case report presents a 35-year-old male who was admitted to the emergency department with a complicated left orbital blow-out fracture following blunt facial trauma.
View Article and Find Full Text PDFOrbital Floor Fractures: Treatment and Diagnostics - A Survey Among Swiss, German and Austrian Maxillofacial Units.
Craniomaxillofac Trauma Reconstr
April 2024
Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Basel, Switzerland.
Study Design: N/A.
Objective: This study investigated the different ways of orbital floor reconstruction with special focus on reconstruction materials, imaging modalities (intra-/ post-operative), 3D printing and navigation.
Methods: The heads of all governmental-run or associated cranio-maxillofacial surgery units in Switzerland, Austria and Germany were asked in person or received an email link for an online survey with 12 questions.
Intraoperative navigation in craniofacial surgery.
Arch Craniofac Surg
October 2024
Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Cheonan, Korea.
Craniofacial surgery requires comprehensive anatomical knowledge of the head and neck to ensure patient safety and surgical precision. Over recent decades, there have been significant advancements in imaging techniques and the development of real-time surgical navigation systems. Intraoperative navigation technology aligns surgical instruments with imaging-derived information on patient anatomy, enabling surgeons to closely follow preoperative plans.
View Article and Find Full Text PDFEfficacy of Nasal Septal Complex in the Endoscopic Reconstruction of Medial Orbital Wall.
J Craniofac Surg
September 2024
Department of Otolaryngology, The South District of The Third Affiliated Hospital of Anhui Medical University, Anhui, China.
Article Synopsis
- * Ten patients underwent surgery, with the nasal septal complex, which includes nasal septal cartilage and the perpendicular plate of the ethmoid, successfully repairing their fractures and leading to improvements in symptoms like double vision.
- * Results showed satisfactory outcomes, with no severe complications, and postoperative imaging confirmed the structural integrity of the repair, maintaining the original shape of the orbit while preventing issues like muscle incarceration.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!