Surgical timing of the orbital "blowout" fracture: A systematic review and meta-analysis
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Surgical timing of the orbital "blowout" fracture : A systematic review and meta-analysis. / Damgaard, Olaf Ehlers; Larsen, Christian Grønhøj; Felding, Ulrik Ascanius; Toft, Peter Bjerre; Von Buchwald, Christian.
I: Otolaryngology - Head and Neck Surgery (United States), Bind 155, Nr. 3, 09.2016, s. 387-390.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Surgical timing of the orbital "blowout" fracture
T2 - A systematic review and meta-analysis
AU - Damgaard, Olaf Ehlers
AU - Larsen, Christian Grønhøj
AU - Felding, Ulrik Ascanius
AU - Toft, Peter Bjerre
AU - Von Buchwald, Christian
PY - 2016/9
Y1 - 2016/9
N2 - Objective: The orbital blowout fracture is a common facial injury, carrying with it a risk of visual impairment and undesirable cosmetic results unless treated properly. Optimal timing of the surgical treatment is still a matter of debate. We set out to determine whether a meta-analysis would bring us closer to an answer to this question. Data Sources: PubMed, EMBASE, Web of Science, and the Cochrane Library were searched from January 1980 to August 2014. We applied the following inclusion criteria: isolated blowout fractures, presenting early and late surgery groups (<14 and >14 days). Patients were evaluated for diplopia and enophthalmos. Review Methods: We followed the statements of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Pooled odds ratios were estimated with the fixed effects method of Mantel-Haenszel. Results: We identified 5 studies with available outcome data (N = 442). Patients in the late group showed an odds ratio of 3.3 (P =.027) for persistent postoperative diplopia as compared with the early group. We found no significant difference between the groups when assessing postoperative enophthalmos as an isolated symptom. Conclusion: We found a significantly increased risk of persistent diplopia in patients who were operated >14 days after the trauma.
AB - Objective: The orbital blowout fracture is a common facial injury, carrying with it a risk of visual impairment and undesirable cosmetic results unless treated properly. Optimal timing of the surgical treatment is still a matter of debate. We set out to determine whether a meta-analysis would bring us closer to an answer to this question. Data Sources: PubMed, EMBASE, Web of Science, and the Cochrane Library were searched from January 1980 to August 2014. We applied the following inclusion criteria: isolated blowout fractures, presenting early and late surgery groups (<14 and >14 days). Patients were evaluated for diplopia and enophthalmos. Review Methods: We followed the statements of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Pooled odds ratios were estimated with the fixed effects method of Mantel-Haenszel. Results: We identified 5 studies with available outcome data (N = 442). Patients in the late group showed an odds ratio of 3.3 (P =.027) for persistent postoperative diplopia as compared with the early group. We found no significant difference between the groups when assessing postoperative enophthalmos as an isolated symptom. Conclusion: We found a significantly increased risk of persistent diplopia in patients who were operated >14 days after the trauma.
KW - blowout
KW - fracture
KW - orbital
KW - surgical
KW - timing
U2 - 10.1177/0194599816647943
DO - 10.1177/0194599816647943
M3 - Review
C2 - 27165680
AN - SCOPUS:84984916659
VL - 155
SP - 387
EP - 390
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
SN - 0194-5998
IS - 3
ER -
ID: 180938026