The functional outcome of blow-out fractures managed surgically and conservatively: our experience in 100 patients

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The functional outcome of blow-out fractures managed surgically and conservatively : our experience in 100 patients. / Felding, Ulrik Ascanius; Rasmussen, Janne; Toft, Peter Bjerre; von Buchwald, Christian.

I: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, Bind 273, Nr. 7, 2016, s. 1927-1931.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Felding, UA, Rasmussen, J, Toft, PB & von Buchwald, C 2016, 'The functional outcome of blow-out fractures managed surgically and conservatively: our experience in 100 patients', European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, bind 273, nr. 7, s. 1927-1931. https://doi.org/10.1007/s00405-016-3945-1

APA

Felding, U. A., Rasmussen, J., Toft, P. B., & von Buchwald, C. (2016). The functional outcome of blow-out fractures managed surgically and conservatively: our experience in 100 patients. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 273(7), 1927-1931. https://doi.org/10.1007/s00405-016-3945-1

Vancouver

Felding UA, Rasmussen J, Toft PB, von Buchwald C. The functional outcome of blow-out fractures managed surgically and conservatively: our experience in 100 patients. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2016;273(7):1927-1931. https://doi.org/10.1007/s00405-016-3945-1

Author

Felding, Ulrik Ascanius ; Rasmussen, Janne ; Toft, Peter Bjerre ; von Buchwald, Christian. / The functional outcome of blow-out fractures managed surgically and conservatively : our experience in 100 patients. I: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2016 ; Bind 273, Nr. 7. s. 1927-1931.

Bibtex

@article{49ba5a9d10b544ac80e0ef7cc1ef5e34,
title = "The functional outcome of blow-out fractures managed surgically and conservatively: our experience in 100 patients",
abstract = "The proportion of orbital blow-out fractures (BOFs) which are operated upon varies. The purpose of this study was to determine the treatment pattern of BOFs at our tertiary trauma centre and to evaluate the functional outcomes in patients according to whether they were managed surgically or conservatively. The study design is a retrospective cohort study and the setting is Tertiary care University Hospital. The participants include patients with isolated BOFs admitted to our Trauma Unit from 2010 to 2013. Of the 100 consecutive patients included, 60 had available follow-up data. The presence of diplopia and enophthalmus was determined by reviewing the medical records. Data from the patients' initial consultation and their 3-month follow-up were also collected. Of the 60 patients whose data could be analysed, 36 had been managed surgically and 24 conservatively. Of the patients managed surgically, 25 had diplopia in peripheral gaze before surgery and 12 at 3-month follow-up. Nine had diplopia in primary gaze before surgery and none at 3-month follow-up. Five had enophthalmus before surgery and two at 3-month follow-up. Of the patients managed conservatively, eight had diplopia in peripheral gaze initially and seven at 3-month follow-up. Three had diplopia in primary gaze initially and one at 3-month follow-up. One had enophthalmus initially which was still present at 3-month follow-up. Primary gaze diplopia disappeared while secondary gaze diplopia was present in about a third of patients, whether managed surgically or conservatively at the 3-month follow-up. Standardised follow-up as well as clear indications for and against surgery are warranted.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Child, Diplopia, Eye Movements, Female, Follow-Up Studies, Humans, Male, Middle Aged, Ophthalmologic Surgical Procedures, Orbital Fractures, Prognosis, Retrospective Studies, Tomography, X-Ray Computed, Visual Acuity, Young Adult, Journal Article",
author = "Felding, {Ulrik Ascanius} and Janne Rasmussen and Toft, {Peter Bjerre} and {von Buchwald}, Christian",
year = "2016",
doi = "10.1007/s00405-016-3945-1",
language = "English",
volume = "273",
pages = "1927--1931",
journal = "Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde",
issn = "0942-8992",
publisher = "Springer",
number = "7",

}

RIS

TY - JOUR

T1 - The functional outcome of blow-out fractures managed surgically and conservatively

T2 - our experience in 100 patients

AU - Felding, Ulrik Ascanius

AU - Rasmussen, Janne

AU - Toft, Peter Bjerre

AU - von Buchwald, Christian

PY - 2016

Y1 - 2016

N2 - The proportion of orbital blow-out fractures (BOFs) which are operated upon varies. The purpose of this study was to determine the treatment pattern of BOFs at our tertiary trauma centre and to evaluate the functional outcomes in patients according to whether they were managed surgically or conservatively. The study design is a retrospective cohort study and the setting is Tertiary care University Hospital. The participants include patients with isolated BOFs admitted to our Trauma Unit from 2010 to 2013. Of the 100 consecutive patients included, 60 had available follow-up data. The presence of diplopia and enophthalmus was determined by reviewing the medical records. Data from the patients' initial consultation and their 3-month follow-up were also collected. Of the 60 patients whose data could be analysed, 36 had been managed surgically and 24 conservatively. Of the patients managed surgically, 25 had diplopia in peripheral gaze before surgery and 12 at 3-month follow-up. Nine had diplopia in primary gaze before surgery and none at 3-month follow-up. Five had enophthalmus before surgery and two at 3-month follow-up. Of the patients managed conservatively, eight had diplopia in peripheral gaze initially and seven at 3-month follow-up. Three had diplopia in primary gaze initially and one at 3-month follow-up. One had enophthalmus initially which was still present at 3-month follow-up. Primary gaze diplopia disappeared while secondary gaze diplopia was present in about a third of patients, whether managed surgically or conservatively at the 3-month follow-up. Standardised follow-up as well as clear indications for and against surgery are warranted.

AB - The proportion of orbital blow-out fractures (BOFs) which are operated upon varies. The purpose of this study was to determine the treatment pattern of BOFs at our tertiary trauma centre and to evaluate the functional outcomes in patients according to whether they were managed surgically or conservatively. The study design is a retrospective cohort study and the setting is Tertiary care University Hospital. The participants include patients with isolated BOFs admitted to our Trauma Unit from 2010 to 2013. Of the 100 consecutive patients included, 60 had available follow-up data. The presence of diplopia and enophthalmus was determined by reviewing the medical records. Data from the patients' initial consultation and their 3-month follow-up were also collected. Of the 60 patients whose data could be analysed, 36 had been managed surgically and 24 conservatively. Of the patients managed surgically, 25 had diplopia in peripheral gaze before surgery and 12 at 3-month follow-up. Nine had diplopia in primary gaze before surgery and none at 3-month follow-up. Five had enophthalmus before surgery and two at 3-month follow-up. Of the patients managed conservatively, eight had diplopia in peripheral gaze initially and seven at 3-month follow-up. Three had diplopia in primary gaze initially and one at 3-month follow-up. One had enophthalmus initially which was still present at 3-month follow-up. Primary gaze diplopia disappeared while secondary gaze diplopia was present in about a third of patients, whether managed surgically or conservatively at the 3-month follow-up. Standardised follow-up as well as clear indications for and against surgery are warranted.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Child

KW - Diplopia

KW - Eye Movements

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Ophthalmologic Surgical Procedures

KW - Orbital Fractures

KW - Prognosis

KW - Retrospective Studies

KW - Tomography, X-Ray Computed

KW - Visual Acuity

KW - Young Adult

KW - Journal Article

U2 - 10.1007/s00405-016-3945-1

DO - 10.1007/s00405-016-3945-1

M3 - Journal article

C2 - 26935055

VL - 273

SP - 1927

EP - 1931

JO - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

JF - Archiv fur klinische und experimentelle Ohren- Nasen- und Kehlkopfheilkunde

SN - 0942-8992

IS - 7

ER -

ID: 179954725