Senese, Olivier
(Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles)
,
Boutremans, Edward
(Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles)
,
Gossiaux, Caroline
(Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles)
,
Loeb, Isabelle
(Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles)
,
Dequanter, Didier
(Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles)
Background: The aim of our retrospective study is to evaluate the management of isolated orbital floor fractures considering the clinical, functional and aesthetic results according to the surgical approach and the type of materials used. Methods: Retrospectively, clinical, radiological, surgical, a...
Background: The aim of our retrospective study is to evaluate the management of isolated orbital floor fractures considering the clinical, functional and aesthetic results according to the surgical approach and the type of materials used. Methods: Retrospectively, clinical, radiological, surgical, and ophthalmological data from 79 patients were collected from January 2010 to December 2016. Furthermore, included patients were interrogated on functional and aesthetic satisfaction. Results: The main causes of trauma were physical aggression followed by accidents. The median time between trauma and surgery was 4 days. The most common surgical approaches were the subciliary and the transconjunctival ones. Alloplastic materials were used in 75 patients. In two patients, we used a combination of two grafts. Patients experienced minor immediate complications. On follow-ups, none of our patients suffered from ocular movement restrictions. Patients treated by subciliary approach had higher risk of retractile scaring compared to other surgical approaches. In our study, patients agreed to complete a questionnaire assessing functional and aesthetic outcomes with a high satisfaction score. No association between the implant material used and the results has been assessed. Conclusion: This study describes the results of orbital floor reconstructions. Despite a variety of materials used and surgical approaches performed, we believe that the transconjunctival approach is the most suitable option with a high satisfaction score.
Background: The aim of our retrospective study is to evaluate the management of isolated orbital floor fractures considering the clinical, functional and aesthetic results according to the surgical approach and the type of materials used. Methods: Retrospectively, clinical, radiological, surgical, and ophthalmological data from 79 patients were collected from January 2010 to December 2016. Furthermore, included patients were interrogated on functional and aesthetic satisfaction. Results: The main causes of trauma were physical aggression followed by accidents. The median time between trauma and surgery was 4 days. The most common surgical approaches were the subciliary and the transconjunctival ones. Alloplastic materials were used in 75 patients. In two patients, we used a combination of two grafts. Patients experienced minor immediate complications. On follow-ups, none of our patients suffered from ocular movement restrictions. Patients treated by subciliary approach had higher risk of retractile scaring compared to other surgical approaches. In our study, patients agreed to complete a questionnaire assessing functional and aesthetic outcomes with a high satisfaction score. No association between the implant material used and the results has been assessed. Conclusion: This study describes the results of orbital floor reconstructions. Despite a variety of materials used and surgical approaches performed, we believe that the transconjunctival approach is the most suitable option with a high satisfaction score.
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
문제 정의
Our study demonstrated and confirmed the variables attitudes in management of orbital floor fractures. Christensen and Zaid [11] compared the available published data concerning the management of orbital floor fractures.
The purpose of our study is to evaluate our experiences in orbital floor reconstructive surgery with a focus on functional and aesthetic results in order to improve the quality of life of the patients.
제안 방법
Eye mobility evaluation and Hess-Lancaster test to establish the presence of diplopia were performed for all the patients by the same ophthalmologist. Patients underwent computed tomography (CT) with coronal scans. The aesthetical and functional outcome was evaluated according to the surgical approach.
Patients underwent computed tomography (CT) with coronal scans. The aesthetical and functional outcome was evaluated according to the surgical approach. Moreover, patient satisfaction was subjectively assessed by a three-item questionnaire.
대상 데이터
Thirty-four patients had a resorbable implant (Resorb-x; KLS Martin, Jacksonville, FL, USA). A permanent implant (titanium grid; Medpor Stryker, Kalamazoo, MI, USA) was used in 42 patients. Among those 76 patients, two patients had an extra bone graft.
데이터처리
The satisfaction rate was determinated according to a score from 0 (no satisfaction) to 5 (high satisfaction). Statistical analysis was performed using chi-square test.
참고문헌 (12)
1 Burnstine MA Clinical recommendations for repair of isolated orbital f loor fractures: an evidence-based analysis Ophthalmology 2002 109 1207 10 12093637
2 Poeschl PW Baumann A Dorner G Russmueller G Seemann R Fabian F Functional outcome after surgical treatment of orbital floor fractures Clin Oral Investig 2012 16 1297 303
3 Pham CM Couch SM Oculocardiac reflex elicited by orbital floor fracture and inferior globe displacement Am J Ophthalmol Case Rep 2017 6 4 6 29260043
4 Gosau M Schoneich M Draenert FG Ettl T Driemel O Reichert TE Retrospective analysis of orbital floor fractures: complications, outcome, and review of literature Clin Oral Investig 2011 15 305 13
5 Liss J Stefko ST Chung WL Orbital surgery: state of the art Oral Maxillofac Surg Clin North Am 2010 22 59 71 20159478
6 Brucoli M Arcuri F Cavenaghi R Benech A Analysis of complications after surgical repair of orbital fractures J Craniofac Surg 2011 22 1387 90 21772169
8 Schubert W Gear AJ Lee C Hilger PA Haus E Migliori MR Incorporation of titanium mesh in orbital and midface reconstruction Plast Reconstr Surg 2002 110 1022 30 12198411
9 Young SM Sundar G Lim TC Lang SS Thomas G Amrith S Use of bioresorbable implants for orbital fracture reconstruction Br J Ophthalmol 2017 101 1080 5 27913446
10 Zunz E Blanc O Leibovitch I Traumatic orbital floor fractures: repair with autogenous bone grafts in a tertiary trauma center J Oral Maxillofac Surg 2012 70 584 92 21664743
11 Christensen BJ Zaid W Inaugural survey on practice patterns of orbital floor fractures for american oral and maxillofacial surgeons J Oral Maxillofac Surg 2016 74 105 22 26475972
12 Manganello-Souza LC Rodrigues de Freitas R Transconjunctival approach to zygomatic and orbital floor fractures Int J Oral Maxillofac Surg 1997 26 31 4 9081250
※ AI-Helper는 부적절한 답변을 할 수 있습니다.