In this retrospective study, we evaluate the relationship between orbital volume changes and clinical outcome by computer based volume measurement in the early and delayed surgical treatment groups
The patients who received operation of reduction of b...
In this retrospective study, we evaluate the relationship between orbital volume changes and clinical outcome by computer based volume measurement in the early and delayed surgical treatment groups
The patients who received operation of reduction of blowout fractures (BOF) were divided to 2 groups according to within 2 weeks and 4 weeks later . Total orbital volume and exophthalmometric value was measured and compare with 2 groups. The Scion image program was used to measure the orbital volume. The sound eye was used control. The early surgical group has 16 patients(A group) otherwise delayed group has 18 patients(B group). Computed tomographic(CT) scan was use to measure total orbital volume and Hertel exophthalmometry was used for measurement of early and late enophthalmos. The relationship between the fracture size, location of fractured wall and degree of enophthalmos was evaluated by statistic analysis.
The preoperative exophthalmic difference between affected eye and sound eye(D1) was 0.5 ± 1.10 mm in the A group and 1.14 ± 1.82 mm in the B group. The exophthalmometric difference between affected eyes and sound eye after 6th month(D3) was 0.75 ± 0.44 mm in the A group, and 1.11 ± 0.96 mm in the B group. The recovery rate of orbital volume was 95.12 ± 6.10 % in the A group and 93.35 ± 5.96 % in the B group. There was no statistical difference between A and B group.
In conclusion, Threre were no significant differences between early surgical group and delayed surgical group in the aspect of total orbital volume changes after surgery and clinical exophthalmometric values.