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Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction

Chinese Journal of Traumatology 2019年第3期22卷 155-160页

作者： Stefan Hartwig Marie-Christine Nissen Jan Oliver Voss Christian Doll nicolai adolphs Max Heiland Jan Dirk Raguse Department for Oral and Maxillofacial and Facial Plastic Surgery Johannes Wesling Hospital MindenUniversity Hospital of the Ruhr University BochumGermany Charite-Universitatsmedizin Berlin Corporate Member of Freie Universitat BerlinHumboldt-Universitat zu Berlinand Berlin Institute of HealthDepartment of Oral and Maxillofacial SurgeryGermany

Purpose: Primary reconstruction via transconjunctival approach is a standardized treatment option for orbital floor fractures. The aim of this study was to compare the findings of specific ophthalmologic assessment with the patient's complaints after fracture reduction. Methods: A retrospective medical chart analysis was performed on patients who had undergone transconjunctival orbital floor fracture reduction for fracture therapy with resorbable foil (ethisorb sheet or polydioxanone foil). A follow-up assessment including ophthalmological evaluation regarding visual acuity (eye chart projector), binocular visual field screening (Bagolini striated glasses test) and diplopia (cover test, Hess screen test) was conducted. Additionally, a questionnaire was performed to assess patients' satisfaction. Results: A total of 53 patients with a mean follow-up of 23 months (ranging from 11 to 72) after surgical therapy were included. Diplopia was present preoperatively in 23 (43.4%) and reduced in follow-up examination (n = 12, 22.6%). Limitations in ocular motility reduced from 37.7% to 7.5%. The questionnaire about the patient's satisfaction revealed excellent outcomes in relation to the functional and esthetical parameters. Conclusion: Transconjunctival approach is a safe approach for orbital fracture therapy. Postoperative diplopia is nearly never perceptible for the individual and differs to pathologic findings in the ophthalmic assessment.

关键词： Orbital floor fractures Blow out fractures Transconjunctival approach Clinical outcome

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