Surgical management of complicated orbital fractures: experiences with 89 orbital corrections and reconstructions
Lu, L.; Bai, X-feng.; Yang, M-liang.; Yan, G-qi.
Zhonghua Kou Qiang Yi Xue Za Zhi 46(8): 458-462
2011
ISSN/ISBN: 1002-0098 PMID: 22169740 Document Number: 649064
To summarize the experiences in the treatment of complicated orbital fractures. A total of 89 patients with complicated orbital fractures treated in Department of Oral and Maxillofacial Surgery, China Medical University from January 2005 to January 2010 were retrospectively reviewed. The classification of these cases included naso-orbital-ethmoid fracture, frontal orbital fracture and orbitozygomatic fracture. All patients were followed up for 6 - 36 months. The orbital frame was repaired or reconstructed in these patients. The function of lacrimal pathways was improved. All the patients and the physicians were satisfied with the surgical effects. However, recurrence of deformity after endophthalmas correction was found in several cases. The experiences, comprehensive management of complicated orbital fractures by team approaches, concluded from this study could be expanded. There are still challenges in the treatment of complicated orbital fractures, such as severe endophthalmas deformity, recurrence of endophthalmas deformity and malunion of complicated orbital fracture.