Clinical and radiological assessment of open and closed reduction of inferior orbital rim fracture

Abstract

: In maxillofacial traumas, zygomaticomaxillary complex(ZMC) and orbital blow out fractures are commonly encountered midfacial fractures that may result in aesthetic and functional impairment. Orbital floor injuries can occur in isolation or in association with zygomaticomaxillary complex fractures. We aim to assess Clinical and radiological outcome of open and closed reduction of inferior orbital rim fracture. This study was carried out on 34 patients admitted to the trauma unit in Sanjay Gandhi Institute of Trauma and Orthopaedics in the period from September 2022 to August 2023. Patients were divided into two groups (group 1; closed reduction, and group 2; open reduction). When compared with group 1 group 2 patient had better post operative outcome. None of the the patients in group 2 complained about blurred vision, ocular motility restriction, and infra orbital nerve paraesthesia. In group 2 patients there is significant changes in orbital volume postoperatively compared to group 1. More stable fracture reduction was noted in group 2. When compared to the group1 patients, 90% of the patients had substantial stability with a P-value of <0.05 being statistically significant.Open reduction and internal fixation of inferior orbital rim has better outcome postoperatively. Apart from the inconspicuous scar in the infra orbital region, the patient had better quality of life.