Retrospective analysis of 79 patients with orbital floor fracture: outcomes and patient-reported satisfaction

Abstract

Background The aim of our retrospective study is to evaluate the management of isolated orbital floor fractures considering the clinical, functional and aesthetic results according to the surgical approach and the type of materials used. Methods Retrospectively, clinical, radiological, surgical, and ophthalmological data from 79 patients were collected from January 2010 to December 2016. Furthermore, included patients were interrogated on functional and aesthetic satisfaction. Results The main causes of trauma were physical aggression followed by accidents. The median time between trauma and surgery was 4 days. The most common surgical approaches were the subciliary and the transconjunctival ones. Alloplastic materials were used in 75 patients. In two patients, we used a combination of two grafts. Patients experienced minor immediate complications. On follow-ups, none of our patients suffered from ocular movement restrictions. Patients treated by subciliary approach had higher risk of retractile scaring compared to other surgical approaches. In our study, patients agreed to complete a questionnaire assessing functional and aesthetic outcomes with a high satisfaction score. No association between the implant material used and the results has been assessed.ConclusionThis study describes the results of orbital floor reconstructions. Despite a variety of materials used and surgical approaches performed, we believe that the transconjunctival approach is the most suitable option with a high satisfaction score.

A Functional Radiological and Soft Tissue Classification to Predict Outcomes in Orbital Fracture Surgery in a Multidisciplinary “Real-World” Setting

“…Associations of the herniation volume with enophthalmos (9, 10), as well as with persistent diplopia and globe motility restrictions (11) have also been reported. Other similar studies are summarised in Table 5 (6,7,(12)(13)(14)(15)(16)(17)(18)(19).…”

Orbital Floor Fractures: Epidemiological, Clinical and Therapeutical Study at Sylvanus Olympio University Teaching Hospital in Lomé about 51 Cases

“…Thus, sports accidents were ranked first according to Tang et al [14] in Canada and Piombino et al [15] in Italia. For Open Journal of Stomatology Senese et al in Belgium [16], assaults were in the majority. Many factors could explain this high frequency of road accidents in the African studies.…”

Surgical indication analysis according to bony defect size in pediatric orbital wall fractures

“…In adults, indications for surgical treatment of orbital fractures are: radiographic evidence of an extensive fracture that can result in muscle incarceration, causing double vision, enophthalmos, or exophthalmos; orbital volume change; and visual acuity deficit or blow-in fracture caused by a presumed invasion of the optical canal by the fracture that does not react to steroids. The criteria for extensive pure orbital fractures are a fracture size of over 2 cm 2 or a bony defect greater than 50% [5][6][7][8][9][10].…”