28Feb 2017

PRE-OPERATIVE AND POST-OPERATIVE VOLUMETRIC ANALYSIS OF ORBIT IN UNILATERAL ORBITAL FRACTURE.

Crossref Cited-by Linking logo

  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Background And Objective: Loss of vision, Diplopia and Enophthalmos are major complications of orbital fracture, possibly leading to functional eye impairment and disturbed facial appearance. Aim: we compared the changes in orbital volume of patients with unilateral orbital fractures treated surgically and conservatively with normal contralateral orbit. Method: We measured volumes of hard tissue defects of orbit in 54 patients by facial CT scan, and degree of enopthalmos by Hertel's exopthalmometer, post trauma, 7thday and at 3 months interval and compared it with normal contra lateral orbit.Patients having orbital fracture with no deficit were managed conservatively and those with any ophthalmic defect, were surgically treated. Result: Out of 54 patients, 23 patients were treated surgically and rest were managed conservatively. Among 53 patients, 18 patients showed enophthalmos, four patients showed diplopia and five showed extraocular muscle entrapment and two had complete loss of vision. Conclusion: Patients who were surgical treated showed significant improvement in ocular activity and restoration of normal orbital volume.

  1. Patterns of zygomatic bone fractures and treatment modalities :A study, ATTA-UR-REHMAN et al, Pakistan Oral & Dental Journal Vol 30, No. 1, (June 2010)
  2. Status of the internal orbit after reduction of zygomaticomaxillary complex fractures.Ellis E 3rd et al, J Oral Maxillofac Surg. 2004 Mar;62(3):275-83
  3. Correlation between volume of herniated orbital contents and the amount of enophthalmos in orbital floor and wall fractures. Zhang Z et al, J Oral Maxillofac Surg. 2012 Jan;70(1):68-73
  4. Influence of age on the management of blow-out fractures of the orbital floor.de Man K et al, Int J Oral Maxillofac Surg. 1991 Dec;20(6):330-6
  5. A consecutive case review of orbital blowout fractures and recommendations for comprehensive management.Yano H et al, Plast Reconstr Surg. 2009 Aug;124(2):602-11

[Swati Tiwari, G.V. Mitra, Sushmitha R, Tejas Motivale and Kuldeep Pal. (2017); PRE-OPERATIVE AND POST-OPERATIVE VOLUMETRIC ANALYSIS OF ORBIT IN UNILATERAL ORBITAL FRACTURE. Int. J. of Adv. Res. 5 (Feb). 2584-2588] (ISSN 2320-5407). www.journalijar.com

dr. swati tiwari

DOI:

Article DOI: 10.21474/IJAR01/3445      
DOI URL: https://dx.doi.org/10.21474/IJAR01/3445

Download Full Paper

Download PDF No. of Downloads: 13 | No. of Views: 93