Anand Lanit, Sealey Christopher
Oral & Maxillofacial Registrar, Oral Health Department, Middlemore Hospital, Auckland.
Oral & Maxillofacial Surgeon, Auckland DHB, Auckland.
N Z Med J. 2017 Jul 7;130(1458):21-26.
The purpose of this study was to review patient outcomes from surgical reconstruction of isolated orbital fractures, performed by the Auckland District Health Board (ADHB) Oral and Maxillofacial Surgery service (OMFS), from 2010 to 2015. In particular, we wished to assess titanium as an orbital reconstructive material and compare outcomes with the international literature.
Hospital records for 103 adults (>18 years old) who underwent repair of isolated orbital fractures by the OMFS department at Middlemore Hospital, between 2010 and 2015, were reviewed. Information collected included patient characteristics, cause of injury, type of reconstruction material used and post-operative complications. Patients were then followed up by means of a verbal telephone questionnaire.
The majority of patients were male in the 18-30 year age group, with interpersonal violence being the leading cause of injury. Titanium was the preferred choice of reconstructive material. Seven patients required return to theatre to resolve post-operative complications. Sixty-four patients could be contacted by telephone (12 months to six years follow-up). Thirty patients, who could not be contacted by telephone, did attend clinic follow-up and were assessed from their hospital records (minimum of one month follow-up). Ten patients could not be contacted by telephone and had not attended clinic follow-up. Problems with diplopia, paraesthesia and cosmesis were within complication rates reported in the literature.
Patients with isolated orbital fractures, treated by the Oral and Maxillofacial Surgery Department in Auckland from 2010-2015, were reviewed. Titanium was the most commonly used reconstructive material and proved to be well tolerated. Complication rates were within international norms.
本研究旨在回顾奥克兰地区卫生局（ADHB）口腔颌面外科服务（OMFS）在2010年至2015年期间对孤立性眼眶骨折进行手术重建的患者预后情况。特别是，我们希望评估钛作为眼眶重建材料的效果，并将结果与国际文献进行比较。
回顾了2010年至2015年间在Middlemore医院OMFS科室接受孤立性眼眶骨折修复的103名成年人（>18岁）的医院记录。收集的信息包括患者特征、受伤原因、使用的重建材料类型和术后并发症。然后通过电话口头问卷对患者进行随访。
大多数患者为18 - 30岁的男性，人际暴力是主要的受伤原因。钛是重建材料的首选。7名患者需要返回手术室解决术后并发症。64名患者可以通过电话联系（随访时间为12个月至6年）。30名无法通过电话联系的患者确实参加了门诊随访，并根据他们的医院记录进行了评估（最短随访时间为1个月）。10名患者无法通过电话联系且未参加门诊随访。复视、感觉异常和美容问题的发生率在文献报道的范围内。
回顾了2010 - 2015年奥克兰口腔颌面外科治疗的孤立性眼眶骨折患者。钛是最常用的重建材料，耐受性良好。并发症发生率在国际标准范围内。
