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2018 ; 19
(2
): 108-113
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Retrospective analysis of 79 patients with orbital floor fracture: outcomes and
patient-reported satisfaction
#MMPMID29996639
Senese O
; Boutremans E
; Gossiaux C
; Loeb I
; Dequanter D
Arch Craniofac Surg
2018[Jun]; 19
(2
): 108-113
PMID29996639
show ga
BACKGROUND: The aim of our retrospective study is to evaluate the management of
isolated orbital floor fractures considering the clinical, functional and
aesthetic results according to the surgical approach and the type of materials
used. METHODS: Retrospectively, clinical, radiological, surgical, and
ophthalmological data from 79 patients were collected from January 2010 to
December 2016. Furthermore, included patients were interrogated on functional and
aesthetic satisfaction. RESULTS: The main causes of trauma were physical
aggression followed by accidents. The median time between trauma and surgery was
4 days. The most common surgical approaches were the subciliary and the
transconjunctival ones. Alloplastic materials were used in 75 patients. In two
patients, we used a combination of two grafts. Patients experienced minor
immediate complications. On follow-ups, none of our patients suffered from ocular
movement restrictions. Patients treated by subciliary approach had higher risk of
retractile scaring compared to other surgical approaches. In our study, patients
agreed to complete a questionnaire assessing functional and aesthetic outcomes
with a high satisfaction score. No association between the implant material used
and the results has been assessed. CONCLUSION: This study describes the results
of orbital floor reconstructions. Despite a variety of materials used and
surgical approaches performed, we believe that the transconjunctival approach is
the most suitable option with a high satisfaction score.