Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland.
Oral Maxillofac Surg. 2021 Sep;25(3):373-382. doi: 10.1007/s10006-020-00923-x. Epub 2020 Dec 5.
The purpose of this study was to evaluate patients' health-related quality of life (HRQoL) before and after surgical treatment of orbital blow-out fracture.
This prospective study comprises of all adult patients undergoing a surgical reconstruction of an orbital blow-out fracture in 2006-2010. Their HRQoL was evaluated for 6 months postoperatively with the aid of the standardized 15D instrument and was compared with that of an age- and gender-standardized sample of the general Finnish population. A complementary questionnaire for more detailed information was also administered.
Twenty-six patients completed the study. Mean 15D score among the patients preoperatively (0.898) was statistically significantly and clinically importantly worse than the score of the control population (0.936). Six months postoperatively, the mean 15D score was 0.920, with no significant difference compared with the control population and the significant differences on the different dimensions had disappeared. The most common complaint at 6 months postoperatively was diplopia in daily life (19%). Disturbances in facial sensation (27%) and defects in facial appearance (15%) were the most unpleasant subjective outcomes.
The HRQoL is significantly decreased after orbital blow-out fracture compared with the general population but will recover completely in 6 months. Thus, the negative impact of orbital blow-out fracture on HRQoL is only transient. Disturbances in facial sensation, defects in facial appearance, and diplopia are the most common subjective complaints after the injury and its surgical treatment. However, these do not appear to affect the overall quality of life in the long term.
本研究旨在评估眼眶爆裂性骨折患者手术治疗前后的健康相关生活质量（HRQoL）。
本前瞻性研究纳入了 2006 年至 2010 年期间接受眼眶爆裂性骨折手术重建的所有成年患者。术后 6 个月，使用标准化的 15D 工具评估他们的 HRQoL，并与年龄和性别标准化的芬兰普通人群样本进行比较。还进行了一份补充问卷以获取更详细的信息。
26 名患者完成了研究。患者术前的平均 15D 评分（0.898）明显且具有临床重要意义差于对照组的评分（0.936）。术后 6 个月，平均 15D 评分为 0.920，与对照组无显著差异，且不同维度的显著差异已消失。术后 6 个月最常见的抱怨是日常生活中的复视（19%）。面部感觉障碍（27%）和面部外观缺陷（15%）是最不愉快的主观结果。
与普通人群相比，眼眶爆裂性骨折后 HRQoL 明显下降，但在 6 个月内完全恢复。因此，眼眶爆裂性骨折对 HRQoL 的负面影响只是暂时的。面部感觉障碍、面部外观缺陷和复视是受伤及其手术治疗后最常见的主观抱怨。然而，这些在长期内似乎不会影响整体生活质量。
