Maunula Mirko K K, Blomgren Karin, Sinkkonen Saku T, Nyman Kristofer, Tapiovaara Laura K
Department of Otorhinolaryngology - Head and Neck Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Kamppi Hospital, Suomen Terveystalo Oy, Helsinki, Finland.
Craniomaxillofac Trauma Reconstr. 2024 Dec;17(4):NP163-NP171. doi: 10.1177/19433875241247370. Epub 2024 Apr 19.
Retrospective, questionnaire survey.
The literature lacks a consensus on treatment of isolated orbital fracture. Our aim was to explore treatment schemes and outcomes of patients with isolated orbital fracture treated at a single tertiary care centre.
We performed a retrospective chart review and a cross-sectional questionnaire survey. We reviewed the medical records of all patients diagnosed with isolated orbital fracture at an outpatient referral clinic in an urban university hospital between 2010 and 2016. We included only patients with isolated inferior, medial, or inferomedial orbital fracture in the study cohort. We sent a questionnaire to these patients to assess the prevalence and severity of long-term symptoms.
We included 246 patients in the study cohort, of which 96 (39%) were treated surgically and 150 (61%) non-surgically. Median time from injury to surgery was 11 days (range = 0-44, IQR = 8,15), and to sending the questionnaire 44 months (range = 16-93). The questionnaire was completed by 89 patients (36%), of whom 51 (57%) reported at least one mild long-term symptom, 24 (27%) at least one moderate long-term symptom, and 17 (19%) at least one severe long-term symptom.
Patients with isolated orbital fracture treated at our unit reported severe long-term symptoms more frequently than would have been expected based on earlier research. Patients at our unit were treated surgically more often than in other similar units, which suggests that surgical treatment may be chosen over non-surgical treatment unnecessarily often at our unit.
回顾性问卷调查。
文献中对于单纯眶骨折的治疗缺乏共识。我们的目的是探讨在一家三级医疗中心接受治疗的单纯眶骨折患者的治疗方案及治疗结果。
我们进行了回顾性病历审查和横断面问卷调查。我们查阅了2010年至2016年期间在一所城市大学医院的门诊转诊诊所被诊断为单纯眶骨折的所有患者的病历。研究队列仅纳入单纯眶下、眶内侧或眶内下骨折的患者。我们向这些患者发送了一份问卷，以评估长期症状的发生率和严重程度。
我们的研究队列纳入了246例患者，其中96例（39%）接受了手术治疗，150例（61%）接受了非手术治疗。从受伤到手术的中位时间为11天（范围=0-44天，四分位间距=8,15），到发送问卷的时间为44个月（范围=16-93个月）。89例患者（36%）完成了问卷，其中51例（57%）报告至少有一种轻度长期症状，24例（27%）报告至少有一种中度长期症状，17例（19%）报告至少有一种重度长期症状。
在我们单位接受治疗的单纯眶骨折患者报告的重度长期症状比早期研究所预期的更为频繁。我们单位的患者接受手术治疗的频率高于其他类似单位，这表明在我们单位可能不必要地经常选择手术治疗而非非手术治疗。
