Department of Ophthalmology and Visual Sciences, University of Louisville, Louisville, KY, USA; Department of Ophthalmology, Indiana University, Indianapolis, IN, USA; Oculofacial Plastic and Orbital Surgery, Indianapolis, IN, USA; St. Vincent Hospital, Indianapolis, IN, USA.
Department of Ophthalmology, Indiana University, Indianapolis, IN, USA.
Am J Otolaryngol. 2019 Jul-Aug;40(4):509-511. doi: 10.1016/j.amjoto.2019.04.008. Epub 2019 Apr 9.
To examine the incidence of intracapsular hemorrhage in orbital fracture repair with non-fixated nylon sheet implants.
A retrospective chart review of 227 patients presenting from January 2013 to December 2016 for orbital fracture repair with nylon sheet implants.
Of the 331 orbital fractures repaired over 4 years, a total of 227 met inclusion criteria. The average implant thickness was 0.38 mm and no implants were fixated. Four total implants (1.8%) were removed due to complications; one each secondary to exploration for ongoing postoperative diplopia, immediate post-operative orbital hemorrhage, a cystic mass anterior to the implant, and pain. There were no cases of intracapsular hemorrhage nor infection for any of the 227 patients over 4 years.
To the authors knowledge, this represents the largest case series to date to assess the rate of intracapsular hemorrhage in non-fixated nylon sheet orbital implants. In the 227 cases reviewed over a 4-year period, there were no cases of intracapsular hemorrhage. This suggests a much lower complication rate than previously reported. PRéCIS: A case series of 227 patients who underwent orbital fracture repair with non-fixated nylon sheet implants.
研究非固定尼龙片植入物修复眼眶骨折后发生囊内出血的情况。
回顾性分析 2013 年 1 月至 2016 年 12 月期间 227 例接受尼龙片植入物修复眼眶骨折的患者的病历。
在 4 年期间修复的 331 例眼眶骨折中，共有 227 例符合纳入标准。平均植入物厚度为 0.38mm，没有固定植入物。由于并发症，共有 4 个总植入物（1.8%）被取出；1 例因术后持续性复视探查，1 例因术后即刻眶内出血，1 例因植入物前囊性肿块，1 例因疼痛。227 例患者在 4 年内均未发生囊内出血或感染。
据作者所知，这是迄今为止评估非固定尼龙片眼眶植入物发生囊内出血率的最大病例系列研究。在回顾的 227 例病例中，均未发生囊内出血。这表明并发症发生率明显低于以往报道。
227 例接受非固定尼龙片植入物修复眼眶骨折的患者的病例系列。
