Department of Cranio-Maxillofacial, Oncological and Reconstructive Surgery, Jagiellonian University Medical College. University Hospital in Kraków, Poland.
Folia Med Cracov. 2020 Nov 30;60(3):53-63.
The aim of the study was to determine the influence of posttraumatic enophthalmos in orbital blow-out fracture on the treatment results. The relationship between time from injury to treatment, type of surgical reconstruction, bone graft site, type of diplopia and treatment results were evaluated. The relationship between the location of the fracture and the degree of enophthalmos was also analyzed. The study included 730 patients, 128 women and 602 men, aged 4 to 77 years, average 28 years, treated because of orbital blow-out fracture in our Department between 1975 and 2015. The study included only patients with an isolated orbital floor or medial wall fracture, so-called "pure blow-out" or "internal blow- out". Fractures of the lower rim, roof or lateral wall of the orbit, as well as the coexistence of other fractures of the facial part of the skull, were excluding citeria from the study. Complete recovery in surgically treated patients was achieved in 405 (58.8%) patients, improvement in 179 (26%) and no improvement in 105 (15.2%) patients. The degree of post-traumatic enophthalmos affects the result of the treatment. The location of the orbital fracture affects the enophthalmos, in our group of patients the largest incidence occurred in the fracture located in the orbital floor combined with medial wall. Patients who underwent surgical treatment up to 14 days after the injury achieved better results than those postponed.
本研究旨在确定外伤性眼球内陷对眼眶爆裂性骨折治疗效果的影响。评估了受伤至治疗时间、手术重建类型、植骨部位、复视类型与治疗效果之间的关系，分析了骨折部位与眼球内陷程度之间的关系。本研究纳入了 1975 年至 2015 年期间在我院因眼眶爆裂性骨折接受治疗的 730 例患者，其中女性 128 例，男性 602 例，年龄 4 至 77 岁，平均 28 岁。本研究仅纳入了单纯眶底或内侧壁骨折患者，即所谓的“单纯眶爆裂”或“内眶爆裂”。排除了眶下缘、眶顶或眶外侧壁骨折以及同时存在其他颅面部分骨折的患者。手术治疗的患者中，405 例（58.8%）患者完全恢复，179 例（26%）患者有所改善，105 例（15.2%）患者无改善。外伤性眼球内陷程度影响治疗效果。骨折部位影响眼球内陷，在本研究组患者中，发生率最高的是眶底合并内侧壁骨折。受伤后 14 天内接受手术治疗的患者比延迟治疗的患者效果更好。
