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亚太地区眼面部外科医生常见操作调查:眶底爆裂性骨折的处理

Survey of Common Practices among Oculofacial Surgeons in the Asia-Pacific Region: Management of Orbital Floor Blowout Fractures.

作者信息

Koh Victor, Chiam Nathalie, Sundar Gangadhara

机构信息

Department of Ophthalmology, National University Health System, Kent Ridge Road, Singapore.

出版信息

Craniomaxillofac Trauma Reconstr. 2014 Sep;7(3):197-202. doi: 10.1055/s-0034-1371774. Epub 2014 Mar 17.

Abstract

A web-based anonymous survey was performed to assess common practices of oculofacial surgeons in the management of traumatic orbital floor blowout fractures. A questionnaire which contained questions on several controversial topics in the management of orbital floor fractures was sent out via e-mail to 131 oculofacial surgeons in 14 countries in the Asia-Pacific region. A total response rate of 58.3% was achieved from May to December 2012. The preferred time for surgical intervention was within 2 weeks for adult patients, porous polyethylene implant was the most popular choice, and most surgeons preferred the transconjunctival approach. Postoperatively, diplopia was the most commonly encountered complication and most oculofacial surgeons reviewed their patients regularly for up to 12 months. We report the results of the first survey of oculofacial surgeons within the Asia-Pacific region on the management of orbital floor blowout fractures. Compared with previous surveys (from year 2000 to 2004), the duration to surgical intervention was comparable but there was a contrasting change in preferred surgical approach and choice of orbital implant.

摘要

开展了一项基于网络的匿名调查,以评估眼面部外科医生处理外伤性眶底爆裂骨折的常见做法。一份包含眶底骨折处理中几个争议性话题问题的问卷,通过电子邮件发送给亚太地区14个国家的131名眼面部外科医生。2012年5月至12月的总回复率为58.3%。成人患者手术干预的首选时间为2周内,多孔聚乙烯植入物是最受欢迎的选择,大多数外科医生更喜欢经结膜入路。术后,复视是最常见的并发症,大多数眼面部外科医生会对患者进行长达12个月的定期复查。我们报告了亚太地区眼面部外科医生关于眶底爆裂骨折处理的首次调查结果。与之前的调查(2000年至2004年)相比,手术干预的时长相当,但在首选手术入路和眶植入物选择方面出现了相反的变化。

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本文引用的文献

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