Open reduction versus endoscopically controlled reconstruction of orbital floor fractures: a retrospective analysis

Hundepool, A.C.; Willemsen, M.A.A.P.; Wal, K.G.H. van der

doi:10.1016/j.ijom.2012.01.006

Cited by 18 publications

(9 citation statements)

References 28 publications

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“…5 Usually, it concerns males between 20 and 40 years old who are involved in traffic accidents, violence, falling, sports, and work-related accidents or fireworks. 2,[10][11][12] Kim et al, 3 Gazioğlu et al, 7 and Penfold et al 13 recommend early reconstruction in every case of orbital roof fractures, to reduce intracranial and ocular complications. Variable autologous and alloplastic materials are reposted to reconstruct the orbit.…”

Section: Discussionmentioning

confidence: 99%

Natural Course of Orbital Roof Fractures

Stam

Wolvius

Schubert

2014

Craniomaxillofacial Trauma & Reconstruction

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Section: Discussionmentioning

confidence: 99%

Natural Course of Orbital Roof Fractures

Stam

Wolvius

Schubert

2014

Craniomaxillofacial Trauma & Reconstruction

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“…CT (computed tomography) is, by far, an increasingly routine test for diagnosis of orbital traumatology. The decision to perform surgery is often a combined outcome of clinical observations and the results from imaging diagnosis 4‐6 …”

Section: Introductionmentioning

confidence: 99%

Involvement of orbit in maxillofacial fractures: “Evaluation of its spectrum, characteristics, and treatment in 200 patients”—Prospective study

Lin

Hong

Zhang

et al. 2020

J of Cosmetic Dermatology

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Background To evaluate the orbital involvement epidemiology in facial fractures, the clinical distribution and effects of orbital involvement in these patients, the frequency and nature of treatment procedures performed for these involvements, and the immediate‐ and intermediate‐term effects of these treatment procedures. Methods Two hundred patients with hard tissue maxillofacial injuries were included in this study. Clinical examination was performed in‐depth. Images were taken to determine and confirm clinical observations and to finalize treatment modality. Orbital involvement in patients was noted as present or absent. The clinical effects and features in postoperative imaging studies were noted until 3 months after trauma in each patient. Results Out of 200 patients, about one‐third patients (58;29%) had orbital involvement and out of which 49 were males. Regarding clinical‐radiological signs in orbit involved fractures, the incidences were variable, that is, periorbital ecchymosis (77.6%), periorbital edema (74.1%), subconjunctival hemorrhage (67.2%), palpable step/crepitus in orbital rim (62.1%), infraorbital nerve paresthesia (46.6%), restricted globe movement (5.2%), orbital rim discontinuity/step (72.4%), maxillary sinuses (51.7%), orbital wall/floor/roof rupture (55.2%), and infraorbital foramen involvement (36.2%). Palpable step/crepitus in orbital rim was recovered remarkably earlier in patients of open reduction internal fixation (ORIF) group, and features of restricted globe movements, orbital rim discontinuity/step, orbital wall/floor/roof rupture, and infraorbital foramen involvement in patients were recovered immediately after open reduction and internal fixation treatment. Conclusion Early repair of the maxillofacial injuries with orbital involvement has better functional and esthetic outcome.

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“…However, the incidence of lower eyelid complications including scleral show and ectropion is reported up to 42%. 7 A 2013 review showed the utility of a transantral sublabial approach for surgical repair of an isolated orbital floor defect, including cases that required alloplastic implant or bone graft placement for rigid reconstruction. 6 While initially considered unfavorable due to limitations of endoscopic imaging, recent technological improvements have made this approach more commonplace.…”

Section: Introductionmentioning

confidence: 99%

“…Endoscopic transantral visualization as an adjunct to a traditional periorbital approach is shown to improve rates of diplopia and enophthalmos. 7 A 2013 review showed the utility of a transantral sublabial approach for surgical repair of an isolated orbital floor defect, including cases that required alloplastic implant or bone graft placement for rigid reconstruction. 1 Endoscopic advances have also made a transnasal approach feasible.…”

Section: Introductionmentioning

confidence: 99%