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

• DOI: 10.21608/ejprs.2021.165828
• Publication Date: 2021-04-28T09:28:30Z
• Authors: Hossam Elgayar; Omar Shouman; Mostafa Abdelhalim; Ashraf Abbas; Ahmed Zeina
• Keywords: Enophthalmos; Orbital Fracture; Guideline

Aim: Orbital trauma is considered one of the most commonmaxillofacial traumas with functional and cosmetic impactto eye globe. The main objective to establish a roadmap for management orbital floor fractures.Patients Methods: One hundred seventy-threepatients were selected from database Mansoura UniversityHospitals fractures who treatedat Department Plastic & Reconstructive Surgery Departmentover past 4 years. Cases retrospectively reviewedby preoperative clinical findings, management, surgical approaches,and sequelae. Authors evaluated timing indicationof intervention, outcomes, complications,and materials used reconstruction.Results: In total, there (173) cases fractureswith average age (23.14) leading cause thesefractures was motor traffic accident (64.7%). Pure blow-outfractures represent 25% while inferiororbital rim alone 45% cases. Inferior rimassociated 30%. 57.2% patientswere managed surgically 42.8% patients managedconservatively. Conchal graft in 19 floorreconstruction 15 by titaniummesh. follow-up, 10 still complain enophthalmos,while 7 diplopia.Conclusions: Better postoperative results presentedin immediately or within two weeks surgically,A guideline choice effective protocol managementwas developed.