Surgical management of complicated orbital fractures: experiences with 89 orbital corrections and reconstructions.
- Author:
Li LU
1
;
Xiao-feng BAI
;
Ming-liang YANG
;
Guang-qi YAN
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Enophthalmos; etiology; surgery; Ethmoid Bone; injuries; surgery; Female; Follow-Up Studies; Humans; Male; Middle Aged; Nasal Bone; injuries; surgery; Orbital Fractures; complications; surgery; Reconstructive Surgical Procedures; Retrospective Studies; Skull Fractures; complications; surgery; Young Adult; Zygomatic Fractures; complications; surgery
- From:Chinese Journal of Stomatology 2011;46(8):458-462
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo summarize the experiences in the treatment of complicated orbital fractures.
METHODSA 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 fracture. All patients were followed up for 6 - 36 months.
RESULTSThe 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.
CONCLUSIONSThe 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.
