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Anales de Otorrinolaringología Mexicana

2004, Number 3

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Otorrinolaringología 2004; 49 (3)

Orbital fractures managed by the Otorhinolaryngology and Head and Neck Surgery Department at Military Central Hospital. A five-year experience

Rodríguez-Perales MA, Pou-López VC, Villagra-Siles E

Language: Spanish
References: 16
Page: 8-24
PDF size: 192.67 Kb.


ABSTRACT

There is not a reliable statistical report that tells us about facial trauma and orbital fractures in our country. We present our experience with management of orbital fractures in a five-year period, all of them managed in our Department. A retrospective, descriptive, traverse study was carried out with 176 clinical files of patients, in which we reviewed clinical files of hospital cases. We selected 176 files of patients diagnosed with facial trauma in a five-year period; of these, we picked out those with orbital fractures, who had been surgically treated, and had a documented six-month follow-up. Sixty-six files were selected, obtaining from them information such as age, sex, trauma mechanism, orbital wall more frequently affected, orbital rim more frequently affected, approaches carried out, and material utilized. Orbital fractures make up 39% of all facial fractures, with a man-woman ratio of 9:1 and a median age of 33 years, in a range of 17-87 years. The floor of the orbit was the most frequently affected wall of the half third, while the naso-ethmoid rim was the most frequently affected in the anterior third of the orbit. Cases of orbital fractures are increasing, with violence as the most frequent trauma mechanism. Complications have a direct relation with care in the handling of the structures and the surgeon’s experience. Complications like diplopia and lagophtalmia can be managed conservatively, with improvement before one month; it is important to document in the patient’s file the visual preoperative and postoperative sharpness.


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