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[Clinical analysis of simple orbital blowout fracture].

AbstractOBJECTIVE:
To discuss the clinical features and treatment methods for simple orbital blowout fracture.
METHOD:
Retrospective analysis of the CT images of 16 orbital blowout fracture case, and identification of the sites, degree, patterns and features of fractures. Among the 16 cases, 2 cases adopted conservative treatment; 11 cases gained a reduction of orbital fracture through endoscopic transnasal surgery; the other 3 patients choosed endoscopic transnasal surgery and Caldwell-Luc operations.
RESULT:
Among 16 diplopia cases, 13 cases were completely cured, and 3 patients' vision were significantly improved. Among 11 enophthalmos cases, 10 patients were cured, and the effect of the other one was not satisfied. Among the 15 eye movement disorder cases, 13 patients' eye movement gained a full recovery, and the other 2 cases were nearly normal. All patients' vision were improved in different extents, and no one got a complication.
CONCLUSION:
Computerized Tomography is helpful to the diagnosis of simple orbital blowout fracture. Caldwell-Luc operation with transnasal endoscope is an effective method for the treatment of orbital fractures.
AuthorsWen Xu, Chuanliang Zhao, Ling Jin, Rongming Ge
JournalLin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery (Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi) Vol. 29 Issue 5 Pg. 418-21 (Mar 2015) ISSN: 2096-7993 [Print] China
PMID26103660 (Publication Type: Journal Article)
Topics
  • Diplopia (etiology)
  • Endoscopy
  • Enophthalmos (etiology)
  • Humans
  • Orbital Fractures (complications, surgery)
  • Retrospective Studies
  • Tomography, X-Ray Computed

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