Surgical treatment of composite orbital fractures
10.3760/cma.j.cnZHZXWKZZ-2018-1012-00231
- VernacularTitle:非单纯性眼眶骨折的手术治疗
- Author:
Qiang SUN
1
;
You ZHOU
;
Shu GUO
;
Xu SUN
;
Jingyi FEN
;
Mengru ZHU
;
Shuang TONG
Author Information
1. 中国医科大学附属第一医院整形外科，沈阳 110001
- Keywords:
Orbital fracture;
Orbital rim;
Orbital wall
- From:
Chinese Journal of Plastic Surgery
2020;36(3):294-297
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize retrospectively the postoperative therapeutic effect of composite orbital fracture.Methods:587 patients with orbital fracture were assessed and diagnosed according to their clinical symptoms and 3D-CT reports before surgeries where incarcerated soft tissue is released and replaced thoroughly, with orbit reset as well as implants used to fix it, and then we evaluated the surgical outcomes by comparing the postoperative outlines of patients’ orbits, the functions of eyeballs along with their 3D-CT evidences.Results:After 10-month to 2-year postoperative follow-up, 12 cases of 587 who had apparent enophthalmos preoperatively still have slightly postoperative symptoms. Although the diplopia of 9 cases is partially recovered, their eye movement remain slightly restricted. In addition, the eye function of other patients didn’t dramatically decline in comparison with that of pre-trauma, except for those undergoing enucleation of eyeballs due to ophthalmorrhexis.Conclusions:Orbital fracture should be diagnosed and evaluated rigorously based on patients’ symptoms and 3D-CT reports, improving treatment effects by accurate reset, fixation and repair at early stage.
