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Related Experiment Videos

Unilateral orbital floor fractures.

M Andersen, P Vibe, I M Nielsen

    Scandinavian Journal of Plastic and Reconstructive Surgery
    |January 1, 1985
    PubMed
    Summary

    This study on orbital floor fractures found that timely surgery within seven days of injury minimizes complications. Autogenous bone grafts were used for fractures requiring transplantation, with long-term follow-up assessing outcomes.

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    Area of Science:

    • Ophthalmology
    • Maxillofacial Surgery
    • Trauma Surgery

    Background:

    • Orbital floor fractures are common facial injuries.
    • Accurate diagnosis and timely surgical intervention are crucial for optimal outcomes.

    Purpose of the Study:

    • To evaluate the operative findings, surgical indications, and long-term outcomes of patients with suspected unilateral orbital floor fractures.
    • To assess the accuracy of preoperative imaging techniques (X-ray and tomography) in diagnosing orbital fractures.
    • To determine the impact of surgical timing on postoperative complications.

    Main Methods:

    • Retrospective analysis of 90 patients undergoing surgery for suspected orbital floor fractures.
    • Evaluation of patient demographics, etiology, operative findings, and surgical techniques.
    • Postoperative assessment using questionnaires at three months and one to 11 years, focusing on diplopia, enophthalmos, hypesthesia, reduced mobility, and sinusitis.
    • Analysis of preoperative X-ray and tomographic findings versus operative results.

    Main Results:

    • Of 90 patients, 56 had fractures requiring transplantation, 24 had fractures not requiring it, and 10 had no fractures.
    • Autogenous bone graft was the sole method of transplantation.
    • Long-term follow-up revealed postoperative complications including diplopia (8/82), enophthalmos (2/82), hypesthesia (18/82), reduced mobility (4/82), and sinusitis (4/82).
    • Preoperative imaging showed discrepancies, with false positives and negatives in both X-ray and tomography.
    • Surgery within seven days of injury showed no significant difference in complication rates compared to later surgery, though later surgery was associated with increased chronic sinusitis.

    Conclusions:

    • Autogenous bone grafting is effective for orbital floor reconstruction.
    • Preoperative imaging can be unreliable in diagnosing orbital fractures.
    • Timely surgical intervention within seven days of injury is recommended to minimize complications, particularly chronic sinusitis.

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