Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction.
10.1016/j.cjtee.2019.01.002
- Author:
Stefan HARTWIG
1
;
Marie-Christine NISSEN
2
;
Jan Oliver VOSS
2
;
Christian DOLL
2
;
Nicolai ADOLPHS
2
;
Max HEILAND
2
;
Jan Dirk RAGUSE
2
Author Information
1. Department for Oral and Maxillofacial and Facial Plastic Surgery, Johannes Wesling Hospital Minden, University Hospital of the Ruhr University Bochum, Germany. Electronic address: stefan.hartwig@ruhr-uni-bochum.de.
2. Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Oral and Maxillofacial Surgery, Germany.
- Publication Type:Journal Article
- Keywords:
Blow out fractures;
Clinical outcome;
Orbital floor fractures;
Transconjunctival approach
- MeSH:
Cohort Studies;
Diplopia;
diagnosis;
etiology;
Follow-Up Studies;
Fracture Fixation;
methods;
Orbital Fractures;
complications;
physiopathology;
psychology;
surgery;
Outcome Assessment (Health Care);
Patient Satisfaction;
Polydioxanone;
administration & dosage;
Polyglycolic Acid;
administration & dosage;
Retrospective Studies;
Surveys and Questionnaires;
Treatment Outcome;
Visual Acuity;
Visual Fields
- From:
Chinese Journal of Traumatology
2019;22(3):155-160
- CountryChina
- Language:English
-
Abstract:
PURPOSE:Primary reconstruction via transconjunctival approach is a standardized treatment option for orbital floor fractures. The aim of this study was to compare the findings of specific ophthalmologic assessment with the patient's complaints after fracture reduction.
METHODS:A retrospective medical chart analysis was performed on patients who had undergone transconjunctival orbital floor fracture reduction for fracture therapy with resorbable foil (ethisorb sheet or polydioxanone foil). A follow-up assessment including ophthalmological evaluation regarding visual acuity (eye chart projector), binocular visual field screening (Bagolini striated glasses test) and diplopia (cover test, Hess screen test) was conducted. Additionally, a questionnaire was performed to assess patients' satisfaction.
RESULTS:A total of 53 patients with a mean follow-up of 23 months (ranging from 11 to 72) after surgical therapy were included. Diplopia was present preoperatively in 23 (43.4%) and reduced in follow-up examination (n = 12, 22.6%). Limitations in ocular motility reduced from 37.7% to 7.5%. The questionnaire about the patient's satisfaction revealed excellent outcomes in relation to the functional and esthetical parameters.
CONCLUSION:Transconjunctival approach is a safe approach for orbital fracture therapy. Postoperative diplopia is nearly never perceptible for the individual and differs to pathologic findings in the ophthalmic assessment.
