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Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture

Purpose. Blowout fracture characterized by concurrent floor and medial wall fractures is a rare entity. We compared surgical outcomes between a single approach and a double approach in patients with orbital fracture by measuring the postoperative orbital volume. Methods. We confirmed that 21 (8.5%)...

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Autores principales: Han, Hyun Ho, Park, Sang Wook, Moon, Suk-Ho, Seo, Bommie F., Rhie, Jong Won, Ahn, Sang Tae, Oh, Deuk Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415453/
https://www.ncbi.nlm.nih.gov/pubmed/25961049
http://dx.doi.org/10.1155/2015/982856
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author Han, Hyun Ho
Park, Sang Wook
Moon, Suk-Ho
Seo, Bommie F.
Rhie, Jong Won
Ahn, Sang Tae
Oh, Deuk Young
author_facet Han, Hyun Ho
Park, Sang Wook
Moon, Suk-Ho
Seo, Bommie F.
Rhie, Jong Won
Ahn, Sang Tae
Oh, Deuk Young
author_sort Han, Hyun Ho
collection PubMed
description Purpose. Blowout fracture characterized by concurrent floor and medial wall fractures is a rare entity. We compared surgical outcomes between a single approach and a double approach in patients with orbital fracture by measuring the postoperative orbital volume. Methods. We confirmed that 21 (8.5%) of a total of 246 patients with orbital fractures had fractures of the medial wall and floor through a retrospective chart review. Of these, 10 patients underwent the single approach and the remaining 11 patients had the double approach. We performed a statistical analysis of changes between the preoperative and postoperative orbital volumes at a 6-month follow-up. Results. Compared with the contralateral, nonaffected side, the orbital volume was 115.3 (±6.09)% preoperatively and 106.5 (±6.15)% postoperatively in the single approach group and 118.2 (±11.16)% preoperatively and 108.6 (±13.96)% postoperatively in the double approach. These results indicated that there was a significant difference between the preoperative and postoperative orbital volumes in each group (P < 0.05). However there was no significant difference between the single approach and the double approach (P > 0.05). Conclusions. Our results showed that there were no significant differences in surgical outcomes between the two modalities. The treatment modality may be selected based on the surgeons' preference, as well as the fracture type.
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spelling pubmed-44154532015-05-10 Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture Han, Hyun Ho Park, Sang Wook Moon, Suk-Ho Seo, Bommie F. Rhie, Jong Won Ahn, Sang Tae Oh, Deuk Young Biomed Res Int Clinical Study Purpose. Blowout fracture characterized by concurrent floor and medial wall fractures is a rare entity. We compared surgical outcomes between a single approach and a double approach in patients with orbital fracture by measuring the postoperative orbital volume. Methods. We confirmed that 21 (8.5%) of a total of 246 patients with orbital fractures had fractures of the medial wall and floor through a retrospective chart review. Of these, 10 patients underwent the single approach and the remaining 11 patients had the double approach. We performed a statistical analysis of changes between the preoperative and postoperative orbital volumes at a 6-month follow-up. Results. Compared with the contralateral, nonaffected side, the orbital volume was 115.3 (±6.09)% preoperatively and 106.5 (±6.15)% postoperatively in the single approach group and 118.2 (±11.16)% preoperatively and 108.6 (±13.96)% postoperatively in the double approach. These results indicated that there was a significant difference between the preoperative and postoperative orbital volumes in each group (P < 0.05). However there was no significant difference between the single approach and the double approach (P > 0.05). Conclusions. Our results showed that there were no significant differences in surgical outcomes between the two modalities. The treatment modality may be selected based on the surgeons' preference, as well as the fracture type. Hindawi Publishing Corporation 2015 2015-04-16 /pmc/articles/PMC4415453/ /pubmed/25961049 http://dx.doi.org/10.1155/2015/982856 Text en Copyright © 2015 Hyun Ho Han et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Han, Hyun Ho
Park, Sang Wook
Moon, Suk-Ho
Seo, Bommie F.
Rhie, Jong Won
Ahn, Sang Tae
Oh, Deuk Young
Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture
title Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture
title_full Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture
title_fullStr Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture
title_full_unstemmed Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture
title_short Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture
title_sort comparative orbital volumes between a single incisional approach and a double incisional approach in patients with combined blowout fracture
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415453/
https://www.ncbi.nlm.nih.gov/pubmed/25961049
http://dx.doi.org/10.1155/2015/982856
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