title: Pure orbital blowout fractures reconstructed with autogenous bone grafts: functional and aesthetic outcomes.
abstract: The purpose of this study was to investigate the ophthalmic clinical findings following surgical reconstruction with autogenous bone grafts of pure blowout fractures. A retrospective review of 211 patients who underwent surgical repair of an orbital fracture between October 1996 and December 2013 was performed. Following data analysis, 60 patients who were followed up over a period of 1 year were included. A solitary floor fracture was present in 38 patients and a floor and a medial wall fracture in 22 patients. Comparing preoperative findings between these two groups, preoperative diplopia and enophthalmos were almost twice as frequent in the group with additional medial wall fractures: diplopia 8% and 14% and enophthalmos 18% and 55%, respectively. One year following surgery there was no diplopia present in either group. In the solitary floor fracture group, 3% still had enophthalmos. It can be concluded that at 1 year following the repair of pure orbital floor fractures using autogenous bone, good functional and aesthetic results can be obtained. In the group with both floor and medial wall fractures, no enophthalmos was found when both walls were reconstructed. When the medial wall was left unoperated, 29% of patients still suffered from enophthalmos after 1 year.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.
authors.forename: S A J
authors.initials: SA
authors.lastname: Kronig
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.
authors.forename: R J G
authors.initials: RJ
authors.lastname: van der Mooren
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.
authors.forename: E M
authors.initials: EM
authors.lastname: Strabbing
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.
authors.forename: L H M
authors.initials: LH
authors.lastname: Stam
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.
authors.forename: J A S L
authors.initials: JA
authors.lastname: Tan
authors.affiliation: The Rotterdam Eye Hospital, Oculoplastic and Orbital Service, Rotterdam, Netherlands.
authors.forename: E
authors.initials: E
authors.lastname: de Jongh
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.
authors.forename: K G H
authors.initials: KG
authors.lastname: van der Wal
authors.affiliation: The Rotterdam Eye Hospital, Oculoplastic and Orbital Service, Rotterdam, Netherlands; Department of Ophthalmology, Geneva General Hospitals, Geneva, Switzerland.
authors.forename: D
authors.initials: D
authors.lastname: Paridaens
authors.affiliation: Department of Oral and Maxillofacial Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands; The Rotterdam Eye Hospital, Oculoplastic and Orbital Service, Rotterdam, Netherlands. Electronic address: m.koudstaal@erasmusmc.nl.
authors.forename: M J
authors.initials: MJ
authors.lastname: Koudstaal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016025:Bone Transplantation / Q000379:methods*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009917:Orbital Fractures / Q000601:surgery*; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome
keywords: autogenous bone; orbital fractures; orbital reconstruction; pure blowout