Orbital Wall Restoring Surgery in Pure Blowout Fractures
| Autor: | Ja Hea Gu, Sang Ah Oh, Dong Hee Kang, Nam Kyu Lim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Orbital wall
medicine.medical_specialty business.operation Enophthalmos business.industry lcsh:Surgery lcsh:RD1-811 Surgical methods Surgery Plastic surgery Paranasal sinuses medicine.anatomical_structure Orbital fractures Inferior wall medicine Original Article medicine.symptom business Orbital Fracture Transorbital |
| Zdroj: | Archives of Plastic Surgery, Vol 41, Iss 6, Pp 686-692 (2014) Archives of Plastic Surgery |
| ISSN: | 2234-6171 2234-6163 |
| Popis: | Background Restoring orbital volume in large blowout fractures is still a technically challenge to the orbital surgeon. In this study, we restored the orbital wall using the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses, and we compared the surgical outcome to that of a conventional transorbital method. Methods A retrospective review of all patients with pure unilateral blowout fractures between March 2007 and March 2013 was conducted. 150 patients were classified into two groups according to the surgical method: conventional transorbital method (group A, 75 patients, control group), and the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses (group B, 75 patients, experimental group). Each group was subdivided depending on fracture location: group I (inferior wall), group IM (inferomedial wall), and group M (medial wall). The surgical results were assessed by the Hertel scale and a comparison of preoperative and postoperative orbital volume ratio (OVR) values. Results In the volumetric analysis, the OVR decreased more by the experimental groups than each corresponding control groups (P0.05). Conclusions Our surgical results suggest that orbital volume was more effectively restored by the combination of transorbital and transnasal approach with additional supports from the paranasal sinuses than the conventional method, regardless of the type of fracture. |
| Databáze: | OpenAIRE |
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