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KMID : 0361020210640120896
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 12 p.896 ~ p.900
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White-Eyed Orbital Blowout Fracture: A Retrospective Study of 22 Patients
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Bae Gyo-Han
Park Geun-Woo
Park Tai-Jung
Noh Woong-Jae
Jung Tae-Young
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Abstract
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Background and Objectives : The study reports on the clinical experience of repairingwhite-eyed orbital blow out fracture through a retrospective study of various incidences ofwhite-eyed orbital blow out fracture that resulted in different treatment methods and outcomes.
Subjects and Method : A retrospective study was performed on 22 patients with white-eyedblowout fracture who underwent operation between March 2009 and June 2019 at our clinic. Patientswere divided into 2 groups by age: 6 to 12 and 13 to 18. A review of medical records includeddemographic data, cause of injury, preoperative symptoms, trauma to operation time andsurgical outcomes including improvement of postoperative ocular symptoms and complications.
Results : The study population included 20 males and 2 female patients ranging from 6 to 18years (mean, 14.2 years) of age. Fifteen of 21 patients with diplopia or limitation of eyeballmovement showed a complete improvement of symptoms after surgery and 6 (28.5%) had remainingsymptoms. One patient had no ocular symptom, but had oculocardiac reflex includingnausea and vomiting. Two cases were re-operated due to adhesion of graft material. Therewas one sinus infection related to the implant.
Conclusion : This study shows that early reconstruction and release of incarcerated musclewithin 5 days after trauma for white-eyed blowout fracture gives successful result that doesnot accompany major complications. All of the 22 patients who were operated for white-eyedblowout fractures had successful results.
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KEYWORD
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Orbital fractures, Prognosis
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