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Archives of craniofacial surgery : ACFS v.19 no.2, 2018년, pp.108 - 113   KCI후보
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

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

Senese, Olivier   (Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles  ); Boutremans, Edward   (Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles  ); Gossiaux, Caroline   (Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles  ); Loeb, Isabelle   (Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles  ); Dequanter, Didier   (Department of Maxillofacial Surgery, CHU Saint Pierre, Universite Libre de Bruxelles  );
  • 초록

    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. Conclusion: This 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.


  • 주제어

    Orbital floor fracture .   Surgical results .   Satisfaction scores.  

  • 참고문헌 (12)

    1. Burnstine MA. Clinical recommendations for repair of isolated orbital floor fractures: an evidence-based analysis. Ophthalmology 2002;109:1207-10. 
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    3. Pham CM, Couch SM. Oculocardiac reflex elicited by orbital floor fracture and inferior globe displacement. Am J Ophthalmol Case Rep 2017;6:4-6. 
    4. Gosau M, Schoneich M, Draenert FG, Ettl T, Driemel O, Reichert TE. Retrospective analysis of orbital floor fractures: complications, outcome, and review of literature. Clin Oral Investig 2011;15:305-13. 
    5. Liss J, Stefko ST, Chung WL. Orbital surgery: state of the art. Oral Maxillofac Surg Clin North Am 2010;22:59-71. 
    6. Brucoli M, Arcuri F, Cavenaghi R, Benech A. Analysis of complica- tions after surgical repair of orbital fractures. J Craniofac Surg 2011;22:1387-90. 
    7. Strong EB. Orbital fractures: pathophysiology and implant materials for orbital reconstruction. Facial Plast Surg 2014;30:509-17. 
    8. Schubert W, Gear AJ, Lee C, Hilger PA, Haus E, Migliori MR, et al. Incorporation of titanium mesh in orbital and midface reconstruction. Plast Reconstr Surg 2002;110:1022-30. 
    9. Young SM, Sundar G, Lim TC, Lang SS, Thomas G, Amrith S. Use of bioresorbable implants for orbital fracture reconstruction. Br J Ophthalmol 2017;101:1080-5. 
    10. Zunz E, Blanc O, Leibovitch I. Traumatic orbital floor fractures: repair with autogenous bone grafts in a tertiary trauma center. J Oral Maxillofac Surg 2012;70:584-92. 
    11. Christensen BJ, Zaid W. Inaugural survey on practice patterns of orbital floor fractures for american oral and maxillofacial surgeons. J Oral Maxillofac Surg 2016;74:105-22. 
    12. Manganello-Souza LC, Rodrigues de Freitas R. Transconjunctival approach to zygomatic and orbital floor fractures. Int J Oral Maxillofac Surg 1997;26:31-4. 

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