Discussion of orbital fractures surgical reduction with endoscope / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

@#AIM: To explore the effect of orbital fractures surgical reduction with endoscope.<p>METHODS: A retrospective analysis was performed on 800 cases of orbital fractures patients in our hospital during August 2013 to August 2016, 354 cases of which received nasal external diameter surgery, included in control group; 446 cases received orbital fractures surgery with endoscope, included in observation group. All patients received postoperative 6-month follow up to observe postoperative clinical efficacy and improvement of diplopia classification eyeball depression, and to assess the satisfactory of facial appearance in patients.<p>RESULTS: Three months after surgery, the total effective rate of observation group was 92.8%, the control group was 90.4%(<i>P</i>>0.05); no significant difference in preoperative diplopia classification between them(<i>P</i>>0.05), diplopia was significantly improved in the follow-up at postoperative 3mo, diplopia 0 degree patients of observation group accounted for 70.9%, control group accounted for 66.7%(<i>P</i>>0.05); 6mo after surgery, the proportion of diplopia 0 was significantly higher in the observation group than that in the control group(97.1% <i>vs </i>76.0%, <i>P</i><0.05). There is no significant difference between the depth of preoperative endophthalmos(<i>P</i>>0.05). The proportion of postoperative enophthalmos depth≤1cm in the observation group was increased to 89.5%, and control group was increased to 85.9%(<i>P</i>>0.05). In the follow-up at postoperative 6mo, 97.3% patients with enophthalmos depth≤1cm, significantly higher than that of control group 80.8%, ignificant difference between groups(<i>P</i><0.05). At 6mo follow-up, the satisfaction of facial appearance of observation group was 97.8%, significantly higher than that of the control group 94.6%(<i>P</i><0.05).<p>CONCLUSION:Endoscope technique in the treatment of orbital fractures surgery can effectively improve the diplopia and enophthalmos, and better in long-time curing, postoperative recovery more in line with the aesthetic requirements of modern people.