Retrospective Analysis of the Outcomes in Orbital Floor Fractures: Guidelines for Better Strategic Management

Elgayar, Hossam; Shouman, Omar Osama; Abdelhalim, Mostafa M.; Abbas, Ashraf; Zeina, Ahmed M.

doi:10.21608/ejprs.2021.165828

Retrospective Analysis of the Outcomes in Orbital Floor Fractures: Guidelines for Better Strategic Management

Document Type : Original Article

Authors

¹ The Department of Plastic Surgery, Faculty of Medicine, Mansoura University

² The Department of General Surgery, Faculty of Medicine, Mansoura University

10.21608/ejprs.2021.165828

Abstract

Aim: Orbital trauma is considered one of the most common
maxillofacial traumas with functional and cosmetic impact
to eye globe. The main objective is to establish a roadmap < br />for the management of orbital floor fractures.
Patients and Methods: One hundred and seventy-three
patients were selected from the database of Mansoura University
Hospitals with orbital floor fractures who were treated
at the Department of Plastic & Reconstructive Surgery Department
over past 4 years. Cases were retrospectively reviewed
by preoperative clinical findings, management, surgical approaches,
and sequelae. Authors evaluated timing and indication
of surgical intervention, surgical outcomes, complications,
and materials used for orbital reconstruction.
Results: In total, there were (173) cases of orbital fractures
with average age of (23.14) years. The leading cause of these
fractures was motor traffic accident (64.7%). Pure blow-out
fractures represent 25% of cases while fractures of inferior
orbital rim alone were 45% of cases. Inferior orbital rim
associated with orbital fractures were 30%. 57.2% of patients
were managed surgically while 42.8% patients were managed
conservatively. Conchal graft was used in 19 cases for floor
reconstruction while 15 cases were managed by titanium
mesh. In the follow-up, 10 patients still complain of enophthalmos,
while 7 patients still complain of diplopia.
Conclusions: Better postoperative results were presented
in cases managed immediately or within two weeks surgically,
A guideline for choice of effective protocol for management
was developed.

Keywords

Main Subjects

Maxillofacial and cranio-maxillo-facial surgery

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