Surgical management of complicated orbital fractures:experiences with 89 orbital corrections and reconstructions

VernacularTitle:复合性眼眶骨折整复术相关问题的分析
Author: Li LU ¹ ; Xiao-Feng BAI ; Ming-Liang YANG ; Guang-Qi YAN
Author Information

1. 中国医科大学口腔医学院
Keywords: Orbital fractures; Reconstructive surgical procedures; Wounds and injuries
From: Chinese Journal of Stomatology 2011;46(8):458-462
CountryChina
Language:Chinese
Abstract: Objective To summarize the experiences in the treatment of complicated orbital fractures. Methods A total of 89 patients with complicated orbital fractures treated in Department of Oral and Maxillofacial Surgery, China Medical University from January 2005 to January 2010 were retrospectively reviewed. The classification of these cases included naso-orbital-ethmoid fracture, frontal orbital fracture and orbitozygomatic facture. All patients were followed up for 6-36 months. Results The orbital frame was repaired or reconstructed in these patients. The function of lacrimal pathways was improved. All the patients and the physicians were satisfied with the surgical effects. However, recurrence of deformity after endophthalmas correction was found in several cases. Conclusions The experiences, comprehensive management of complicated orbital fractures by team approaches, concluded from this study could be expanded. There are still challenges in the treatment of complicated orbital fractures, such as severe endophthalmas deformity, recurrence of endophthalmas deformity and malunion of complicated orbital fracture.