Clinical outcome after orbital floor fracture reduction with special regard to patient's satisfaction / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 155-160, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-771622
ABSTRACT
PURPOSE@#Primary reconstruction via transconjunctival approach is a standardized treatment option for orbital floor fractures. The aim of this study was to compare the findings of specific ophthalmologic assessment with the patient's complaints after fracture reduction.@*METHODS@#A retrospective medical chart analysis was performed on patients who had undergone transconjunctival orbital floor fracture reduction for fracture therapy with resorbable foil (ethisorb sheet or polydioxanone foil). A follow-up assessment including ophthalmological evaluation regarding visual acuity (eye chart projector), binocular visual field screening (Bagolini striated glasses test) and diplopia (cover test, Hess screen test) was conducted. Additionally, a questionnaire was performed to assess patients' satisfaction.@*RESULTS@#A total of 53 patients with a mean follow-up of 23 months (ranging from 11 to 72) after surgical therapy were included. Diplopia was present preoperatively in 23 (43.4%) and reduced in follow-up examination (n = 12, 22.6%). Limitations in ocular motility reduced from 37.7% to 7.5%. The questionnaire about the patient's satisfaction revealed excellent outcomes in relation to the functional and esthetical parameters.@*CONCLUSION@#Transconjunctival approach is a safe approach for orbital fracture therapy. Postoperative diplopia is nearly never perceptible for the individual and differs to pathologic findings in the ophthalmic assessment.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Fracturas Orbitales
/
Ácido Poliglicólico
/
Psicología
/
Cirugía General
/
Agudeza Visual
/
Campos Visuales
/
Encuestas y Cuestionarios
/
Estudios Retrospectivos
/
Estudios de Cohortes
/
Estudios de Seguimiento
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Idioma:
Inglés
Revista:
Chinese Journal of Traumatology
Año:
2019
Tipo del documento:
Artículo
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