Management of Pediatric Orbital Fractures
| Autor: | Amir Wolff, Adi Rachmiel, Gill E. Sviri, Omri Emodi, Chaim Ohayon, Vladimir Shapira |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Subgroup analysis 03 medical and health sciences 0302 clinical medicine Medicine Humans 030223 otorhinolaryngology Orbital Fracture Child Orbital Fractures Retrospective Studies Treated group Orbital wall Bone Transplantation business.industry Autogenous bone graft Treatment method Retrospective cohort study Mean age 030206 dentistry General Medicine Surgery Treatment Outcome Otorhinolaryngology Female business |
| Zdroj: | The Journal of craniofacial surgery. 32(1) |
| ISSN: | 1536-3732 |
| Popis: | Introduction Although uncommon in children, orbital fractures can be devastating to both vision and appearance. Due to the scarce information in the literature, the authors here present our experience and management with all pediatric orbital fracture patients. Material and methods A 6-years retrospective study was conducted on pediatric patients presented with orbital wall fracture (OFx). All patients (n = 43) were grouped for comparison based on the treatment method. The cohorts were analyzed for demographics data, location of fracture, type of material used for reconstruction, complication rate and follow up length. Data was analyzed utilizing SPSS for χ2 test. Results The majority of patients were male (86%) and the mean age of patients was 12.09 ± 4 years. Mean follow-up time was 237 ± 72 days. Most of Patients 31 (72%) underwent surgical intervention. A higher rate of complications was observed in the surgically treated group (32%) compared to the conservative group (8%) regardless to the defect size. Subgroup analysis of the surgery treated group revealed that large size defect had inferior outcome compared to small size defect. Conclusion The consequences of treatment on long-term growth and development must be a cornerstone when choosing the optimal therapeutic method. Conservative management should be considered first in the absence of significant clinical pathologies. In addition, when surgery is indicated the least invasive procedure should be applied. The use of autogenous bone graft is preferable over alloplastic materials, however, when there is insufficient bone quantity the use of alloplastic materials is not contraindicated for reconstruction. |
| Databáze: | OpenAIRE |
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