Treatment of orbtical blow-out fracture by surgical or conservative therapy: A retrospective study of 90 cases
10.3969/j.issn.1001-3733.2018.02.021
- VernacularTitle:手术和保守治疗爆裂性眼眶骨折的结果:90例患者的临床分析
- Author:
Yang LIU
1
;
Shiping CHANG
;
Junqi JIA
;
Wuyang ZHANG
;
Qin MA
Author Information
1. 710032 西安,军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔疾病临床医学研究中心,第四军医大学口腔医院口腔颌面外科
- Keywords:
Orbital fracture;
Blow-out orbital fracture;
Diplopia;
Enophthalmus
- From:
Journal of Practical Stomatology
2018;34(2):244-247
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the effects of surgical and conservative therapy in the treatment of orbital blow-out fracture. Methods: 90 cases of obital blow-out fracture were treated by surgical(n = 40) and conservative(n = 50) trerapy respectively, the patients were fllowed up for 12 months. The treatment outcome was retrospectively analysed. Results: Of the 40 patients managed surgically 39 were with complete follow up data, 19 had diplopia in peripheral gaze before surgery, 13 (33％) had at 3-month and 12 (31％) had at 6-month follow-up. 31 had enophthalmus before surgery and 3(8％) had at 3-month and 6-month follow-up. Of the 50 patients managed conservatively 26 were with complete follow-up data, 11 had diplopia in peripheral gaze initially, 9(35％) had at 3-month and 8(31％) had at 6-month follow-up. 15 had enophthalmus initially and 13(50％) had at 3-month and 6-month followup. Conclusion: Surgical therapy is more effective for the treatment of enophthalmus. The effects tend to be stable 3 months after treatment, the ratio of diplopia in peripheral gaze after treatment by the 2 treatments is similar(about 30％ of the total cases).
