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Postoperative Closed-Suction Drain in Anterior Orbitotomy
Pankaj Gupta1, Manu Saini1, Vijay K Sharma1
1Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus
|December 12, 2023
Summary
Closed-suction drains accelerate recovery after orbital mass excision by reducing proptosis and eyelid swelling. While improving early outcomes, drains do not impact long-term results for anterior orbitotomy patients.
Area of Science:
- Ophthalmology
- Surgical Innovation
Background:
- Anterior orbitotomy is a surgical approach for orbital mass excision.
- Postoperative edema and proptosis can complicate recovery.
Purpose of the Study:
- To evaluate the efficacy of closed-suction drains in managing orbital mass excision post-anterior orbitotomy.
- To assess the impact of drains on early and late postoperative recovery.
Main Methods:
- Prospective, randomized comparative study.
- 25 patients undergoing anterior orbitotomy and mass excision were divided into drain (n=12) and no-drain (n=13) groups.
- Postoperative assessment included visual acuity, proptosis, pain, eyelid swelling, and ocular motility.
Main Results:
- Faster subsidence of proptosis (p=0.041), eyelid swelling (p=0.04), and improved ocular motility (p=0.04) were observed in the drain group.
- Outcomes at 30 days were comparable between groups.
- No long-term complications were reported in either group.
Conclusions:
- Closed-suction drains facilitate early postoperative recovery after anterior orbitotomy.
- Drains promote faster resolution of proptosis, eyelid edema, and ocular motility deficits.
- Surgeons may individualize drain use based on anticipated postoperative edema.
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