Orbital Floor Fractures in Germany: Interdisciplinary Care without a Uniform Standard - Results of a Multicentre Survey.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Holtmann Christoph, Roth Mathias, Szurman Gesine, Grenzebach Ulrike, Schrage Norbert, Brinkmann Christian, Wabbels Bettina, Dick Burkhard, Kohlhaas Markus, Freißler Gernot, Schargus Marc, Hesse Lutz, Roider Johann, Wykrota Agata Anna, Müller Arthur, Sauder Gangolf, Tost Frank, Walther Jürgen, Scheider Andreas, Maier Mathias M, Hartmann Kathi, Bertelmann Eckart, Hintschich Christoph, Ladewig Markus, Eckstein Anja, Reinhard Thomas, Schittkowski Michael P, Rokohl Alexander C, Heindl Ludwig Maximilian, Sterker Ina, Grisanti Salvatore, Renieri Giulia, Elflein Heike Maria, Brockmann Tobias, Krauss Patrizia, Hufendiek Karsten, Besgen Volker, Ruediger Katja, Heichel Jens, Viestenz Arne, Borrelli Maria, Geerling Gerd
Аннотация
PURPOSE: The aim of this survey was to investigate the current management of OFF in German centres with emergency care, among the members of the national oculoplastic society (Section Ophthalmoplastic and Reconstructive Surgery [SORC]).
METHODS: An 11-question questionnaire was sent to the main ophthalmology departments and members of the Section for Ophthalmic Reconstructive Surgery (SORC). Open (2), semi-open/multiple choice variant with multiple choice (6) and closed/dichotomous questions were used (3).
RESULTS: The questionnaire response rate was 36.3% (37/102). Patients with OFF are treated by oral and maxillofacial surgeons at 86.1% of the sites and by ear, nose and throat specialists (in some cases interdisciplinary) at 25% of the sites. When the indication for surgery was made, the orthoptic status was only carried out at 72% of the sites and preoperative imaging was carried out at 75%. At 58.3% of the sites, OFF correction was also performed without any preoperative clarification by an ophthalmologist, predominantly in cases of polytrauma. The time of surgery was between 0 and 25 days, with a median of 7 days after the accident (8 ± 6 days).
CONCLUSIONS: In Germany, the initial surgical treatment of OFF is predominantly performed without prior ophthalmologic consultation and not by ophthalmologists. As early reconstruction can cause considerable individual ophthalmologic loss of function, it is important to promote interdisciplinary cooperation and, in particular, the corresponding oculoplastic care expertise in ophthalmology in order more reliably to avoid inadequate indications. The development of an interdisciplinary S2 guideline and the establishment of a national registry for orbital floor fractures appear to be urgently required to improve the quality of care.