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[Secondary post-traumatic periorbital reconstructions]

H P Freihofer1

  • 1Afd. Mond- en Kaakchirurgie Academisch Ziekenhuis, Nijmegen.

Fortschritte Der Kiefer- Und Gesichts-Chirurgie
|January 1, 1994
PubMed
Summary
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Secondary reconstructive surgery for periorbital trauma yields good results, especially after midface fractures. Tertiary corrections are beneficial, with most patients achieving acceptable or good outcomes following reconstructive procedures.

Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Trauma Surgery

Context:

  • 12-year retrospective study of 56 patients
  • Focus on secondary corrections of periorbital region trauma
  • Analysis of outcomes for zygoma, midface, and frontobasal fractures

Purpose:

  • Evaluate the efficacy of secondary and tertiary reconstructive surgeries for periorbital trauma
  • Assess outcomes based on fracture type (zygoma, midface, frontobasal)
  • Determine the success rates of secondary canthopexies and rhinoplasties

Summary:

  • Secondary corrections for isolated zygoma fractures improved results in 75% of cases.
  • Midface and frontobasal fractures showed high success rates (85% acceptable/good) with secondary corrections; tertiary corrections were useful.

Related Experiment Videos

  • Secondary canthopexies required revision in 20%, but all achieved acceptable results. Secondary rhinoplasties had a 5% unacceptable rate after further corrections.
  • Overall, 60% achieved good results, and 20% had acceptable results from secondary periorbital reconstructions.

    • Impact:

    • Highlights the effectiveness of secondary and tertiary reconstructive surgery in periorbital trauma.
    • Provides data on specific fracture types, aiding surgical planning.
    • Informs patient expectations regarding outcomes and potential need for revision surgeries.