Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2019; 86(1):72-76 | DOI: 10.55095/achot2019/011

Reconstruction of Isolated Orbital Floor Fractures by Nasoseptal CartilageOriginal papers

B. GÁL^1,*, J. HLOŽEK¹, T. HLOŽKOVÁ¹, D. SLOUKA², R. KOSTŘICA¹

¹ Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice u sv. Anny v Brně a Lékařské fakulty Masarykovy univerzity Brno

² Otorhinolaryngologická klinika, Fakultní nemocnice Plzeň a Lékařské fakulty Univerzity Karlovy, Plzeň

PURPOSE OF THE STUDY:
The incidence of isolated orbital floor fractures has an increasing tendency. Their optimal management is not uniform and is still being discussed in the literature. The therapeutic decision as to whether surgical intervention is necessary or conservative approach is adequate vitally depends on clinical and CT findings. Incorrect treatment can lead to serious consequences, especially to persistent diplopia and enophthalmos. The objective of our study was to evaluate the radiological indication criteria for surgery and the clinical outcomes thereafter.

MATERIAL AND METHODS:
The retrospective monocentric study of the group of 53 patients who underwent the isolated orbital floor fracture reconstruction during the period from 1/1/2006 to 31/12/2016 at the Clinic of Otolaryngology and Head and Neck Surgery of the St. Anne's University Hospital, Brno. The ealuated parameters wee the following: trauma cause, clinical symptoms, evaluation of CT parameters (MH index, RF index, MRI index), time interval from injury to surgery, complications.

RESULTS:
Trauma cause: an assault 30/53 (57%), a fall 14/53 (26%), sports 4/53 (7%), a road traffic accident 4/53 (7%), an accident at work 1/53 (2%). Clinical symptoms: eyelid haematoma and/or swelling 53/53 (100%), diplopia 29/53 (55%), emphysema 29/53 (55%), infraorbital nerve hypoesthesia 4/53 (7%). Radiological report of the CT: RF index > 50% (defect length more than a half of the orbital floor length) 49/53 (92%), RF index

Keywords: orbital fractures, blow-out fracture, orbital floor, orbital reconstruction

Published: February 1, 2019  Show citation