Factors influencing surgical outcomes in orbital trapdoor fracture

Factors influencing surgical outcomes in orbital trapdoor fracture

Abstract This study is aimed to determine the appropriate timing of performing surgical reduction on trapdoor fractures for bringing out better visual outcomes and the factors influencing surgical outcomes in this special subgroup of fracture victims. Data for 72 patients of orbital trapdoor fractur...

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Autores principales: Yi-Hua Chen, Yueh-Ju Tsai, I-Shiang Tzeng
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
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Science
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Acceso en línea:https://doaj.org/article/d1f6774f7d344e1b8cf3f0ef217652b2
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spelling oai:doaj.org-article:d1f6774f7d344e1b8cf3f0ef217652b22021-12-02T19:04:01ZFactors influencing surgical outcomes in orbital trapdoor fracture10.1038/s41598-021-96920-52045-2322https://doaj.org/article/d1f6774f7d344e1b8cf3f0ef217652b22021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96920-5https://doaj.org/toc/2045-2322Abstract This study is aimed to determine the appropriate timing of performing surgical reduction on trapdoor fractures for bringing out better visual outcomes and the factors influencing surgical outcomes in this special subgroup of fracture victims. Data for 72 patients of orbital trapdoor fracture were analyzed retrospectively. Post-operative diplopia is the main posttreatment outcome of orbital bone fracture reduction. The receiver-operating characteristic (ROC) analysis indicated the cut-off point of surgical reduction timing at day 10 post-fracture. The rate of postoperative diplopia showed a significant difference between patients who underwent surgical reduction within 10 days and those who did after 10 days of injury (5.3% vs. 38.2%). Multivariate analysis revealed that preoperative infra-duction limitation (p = 0.02), muscle incarceration (p = 0.01), duration from injury to surgical reduction (p = 0.004), and postoperative supra-duction limitation (p = 0.004) were independent factors for poor surgical outcomes. In younger patients with head injury, the diagnosis of orbital trapdoor fracture should be kept in mind. Timely recognition and surgical reduction, especially within 10 days, can result in better visual outcomes without the occurrence of postoperative diplopia.Yi-Hua ChenYueh-Ju TsaiI-Shiang TzengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yi-Hua Chen
Yueh-Ju Tsai
I-Shiang Tzeng
Factors influencing surgical outcomes in orbital trapdoor fracture
description Abstract This study is aimed to determine the appropriate timing of performing surgical reduction on trapdoor fractures for bringing out better visual outcomes and the factors influencing surgical outcomes in this special subgroup of fracture victims. Data for 72 patients of orbital trapdoor fracture were analyzed retrospectively. Post-operative diplopia is the main posttreatment outcome of orbital bone fracture reduction. The receiver-operating characteristic (ROC) analysis indicated the cut-off point of surgical reduction timing at day 10 post-fracture. The rate of postoperative diplopia showed a significant difference between patients who underwent surgical reduction within 10 days and those who did after 10 days of injury (5.3% vs. 38.2%). Multivariate analysis revealed that preoperative infra-duction limitation (p = 0.02), muscle incarceration (p = 0.01), duration from injury to surgical reduction (p = 0.004), and postoperative supra-duction limitation (p = 0.004) were independent factors for poor surgical outcomes. In younger patients with head injury, the diagnosis of orbital trapdoor fracture should be kept in mind. Timely recognition and surgical reduction, especially within 10 days, can result in better visual outcomes without the occurrence of postoperative diplopia.
format article
author Yi-Hua Chen
Yueh-Ju Tsai
I-Shiang Tzeng
author_facet Yi-Hua Chen
Yueh-Ju Tsai
I-Shiang Tzeng
author_sort Yi-Hua Chen
title Factors influencing surgical outcomes in orbital trapdoor fracture
title_short Factors influencing surgical outcomes in orbital trapdoor fracture
title_full Factors influencing surgical outcomes in orbital trapdoor fracture
title_fullStr Factors influencing surgical outcomes in orbital trapdoor fracture
title_full_unstemmed Factors influencing surgical outcomes in orbital trapdoor fracture
title_sort factors influencing surgical outcomes in orbital trapdoor fracture
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/d1f6774f7d344e1b8cf3f0ef217652b2
work_keys_str_mv AT yihuachen factorsinfluencingsurgicaloutcomesinorbitaltrapdoorfracture
AT yuehjutsai factorsinfluencingsurgicaloutcomesinorbitaltrapdoorfracture
AT ishiangtzeng factorsinfluencingsurgicaloutcomesinorbitaltrapdoorfracture
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