Plastic and Reconstructive Surgery·Clinical Research Article
Surgical treatment of composite orbital fractures
Sun Qiang, Zhou You, Guo Shu, Sun Xu, Fen Jingyi, Zhu Mengru, Tong Shuang
Published 2020-03-25
Cite as Chin J Plast Surg, 2020,36(03): 294-297. DOI: 10.3760/cma.j.cnZHZXWKZZ-2018-1012-00231
Abstract
ObjectiveTo summarize retrospectively the postoperative therapeutic effect of composite orbital fracture.
Methods587 patients with orbital fracture were assessed and diagnosed according to their clinical symptoms and 3D-CT reports before surgeries where incarcerated soft tissue is released and replaced thoroughly, with orbit reset as well as implants used to fix it, and then we evaluated the surgical outcomes by comparing the postoperative outlines of patients’ orbits, the functions of eyeballs along with their 3D-CT evidences.
ResultsAfter 10-month to 2-year postoperative follow-up, 12 cases of 587 who had apparent enophthalmos preoperatively still have slightly postoperative symptoms. Although the diplopia of 9 cases is partially recovered, their eye movement remain slightly restricted. In addition, the eye function of other patients didn’t dramatically decline in comparison with that of pre-trauma, except for those undergoing enucleation of eyeballs due to ophthalmorrhexis.
ConclusionsOrbital fracture should be diagnosed and evaluated rigorously based on patients’ symptoms and 3D-CT reports, improving treatment effects by accurate reset, fixation and repair at early stage.
Key words:
Orbital fracture; Orbital rim; Orbital wall
Contributor Information
Sun Qiang
Department of Plastic Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Zhou You
Department of Plastic Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Guo Shu
Department of Plastic Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Sun Xu
Department of Plastic Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Fen Jingyi
Department of Plastic Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Zhu Mengru
Department of Plastic Surgery, the First Hospital of China Medical University, Shenyang 110001, China
Tong Shuang
Department of Plastic Surgery, the First Hospital of China Medical University, Shenyang 110001, China