Reconstruction of orbital floor blow-out fractures with autogenous iliac crest bone: A retrospective study including maxillofacial and ophthalmology perspectives
| Autor: | Claire Hartnett, Gerard J. Kearns, Marie Hickey-Dwyer, John Edward O'Connell |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity genetic structures Exophthalmos Visual Acuity Enophthalmos Transplant Donor Site Iliac crest Ilium Young Adult Postoperative Complications Ophthalmology Diplopia medicine Humans Exophthalmometer Paresthesia Autografts Orbital Fractures Retrospective Studies Bone Transplantation business.industry Eyelids Retrospective cohort study Middle Aged Plastic Surgery Procedures eye diseases Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Female Eyelid Oral Surgery medicine.symptom Tomography X-Ray Computed business Follow-Up Studies |
| Zdroj: | Journal of Cranio-Maxillofacial Surgery. 43:192-198 |
| ISSN: | 1010-5182 |
| DOI: | 10.1016/j.jcms.2014.11.001 |
| Popis: | This is a 10-year retrospective study of patients with an isolated unilateral orbital floor fracture reconstructed with an autogenous iliac crest bone graft. The following inclusion criteria applied: isolated orbital floor fracture without involvement of the orbital rim or other craniofacial injuries, pre-/post-operative ophthalmological/orthoptic follow-up, pre-operative CT. Variables recorded were patient age and gender, aetiology of injury, time to surgery, follow-up period, surgical morbidity, diplopia pre- and post-operatively (Hess test), eyelid position, visual acuity, and the presence of en-/or exophthalmos (Hertel exophthalmometer). Twenty patients met the inclusion criteria. The mean age was 29 years. The mean follow up period was 26 months. No patient experienced significant donor site morbidity. There were no episodes of post-operative infection or graft extrusion. Three patients had diplopia in extremes of vision post-operatively, but no interference with activities of daily living. One patient had post-operative enophthalmos. Isolated orbital blow-out fractures may be safely and predictably reconstructed using autogenous iliac crest bone. The rate of complications in the group of patients studied was low. The value of pre- and post-operative ophthalmology consultation cannot be underestimated, and should be considered the standard of care in all patients with orbitozygomatic fractures, in particular those with blow-out fractures. |
| Databáze: | OpenAIRE |
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