Follow-up study of treatment of orbital floor fractures: relation of clinical data and software-based CT-analysis
| Autor: | Martin Voracek, Clemens Klug, Oliver Ploder, Arnulf Baumann, Arne Wagner, Georg Burggasser, M. Oeckher, Christian Czerny |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty genetic structures medicine.medical_treatment Balloon Catheterization Ocular Motility Disorders medicine Diplopia Humans Orbital Fracture Orbital Fractures Reduction (orthopedic surgery) Aged Retrospective Studies business.industry Balloon catheter Retrospective cohort study Middle Aged eye diseases Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Radiological weapon Female Radiology Oral Surgery medicine.symptom business Tomography X-Ray Computed Software Orbit (anatomy) Follow-Up Studies Orbital Implants |
| Zdroj: | International journal of oral and maxillofacial surgery. 32(3) |
| ISSN: | 0901-5027 |
| Popis: | This retrospective study quantifies isolated orbital floor fractures using software-based CT-analysis and compares the clinical outcome across surgical and non-surgical treatment groups. Depending on the surgeon's interpretation of the clinical and radiological appearance, 10 fractures were treated non-surgically and 20 fractures surgically, either with antral balloon catheter alone or in combination with an orbital implant. Ophthalmologic findings were evaluated until 12 weeks after injury. Fracture area, and volume of displaced tissue (VDT) were assessed by software-based CT-analysis. VDT was marginally significantly smaller in non-surgically than in surgically-treated patients (P=0.08). Ophthalmologic findings improved in all groups during follow-up and no statistical difference was found between the groups. Diplopia remained moderate in three patients with balloon catheter alone, and minimal in four patients in both surgical groups. In one patient with non-surgical treatment, diplopia remained minimal after 12 weeks. Although CT-analysis revealed no significant difference between both surgical groups, patients treated with balloon catheter alone presented more diplopia after 12 weeks. Using balloon catheters for fracture repair a combined approach should be performed when large fractures involve the orbital floor to achieve sufficient reduction of orbital content and placement of an orbital implant. Software-based CT-analysis is helpful for objective interpretation in managing of orbital fractures. |
| Databáze: | OpenAIRE |
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