Retrospective analysis of orbital floor fracture: our clinical experience

Aim. This retrospective study aimed at investigating
indications, surgical approaches, and the materials
used for orbital floor reconstructions, as well as the
clinical followup, particularly with regard to postoperative complications.
Methods. This study comprised 120 patients who underwent surgery for orbital floor fractures between
2001 and 2011. Diagnosis and treatment were based
on both physical examination and orbital CT scan.
Patients were retrospectively analyzed for data, such
as mechanism of injury, classification of fracture, and
complications.
Results. The most common cause of injury was physical assault followed by traffic accidents. Surgery
was performed with a mean delay of 5 days after
the incident. Subciliary lower eyelid incision was the
most common surgical approach to the orbital floor,
followed by mid lower eyelid incision and transconjunctival lower-eyelid approach. For orbital floor reconstruction, collagenous membrane derived from
bovine pericardium (65%) is mainly used, followed
by titanium mesh (35%); 18.0% of patients showed
postoperative complications: 10.0% presented transient hypesthesia, 4.2% transient diplopia, 2.0% enophthalmos, 1% visible scar and 0.8% from scleral
show.
Conclusion. The main goal of this report is to discuss
indications and timing for surgical repair of orbital
floor fracture fractures and other facial fracture. Complications due to surgery are described.