The Journal of craniofacial surgery · 2026
Management Strategies for Isolated Medial Orbital Wall Fractures: A Literature Review of Surgical and Conservative Approaches.
СтатьяОбзорПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
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.
Mann David J, Leininger Brennan R, Ewing Jane N, Lee Jessica, French Brooke, Khechoyan David, Greyson Mark, Yu Jason W
Аннотация
PURPOSE: We reviewed the literature on the management of isolated medial orbital wall fractures to understand when patients are treated surgically or conservatively, and their postoperative complications.
METHODS: A comprehensive search was conducted in Cochrane, Medline, and Embase databases on 11/1/2020 with the date range of January 1960 to July 2019 to find published systematic reviews, case series, and clinical research articles. A total of 1321 articles were reviewed, of which 55 papers met our inclusion criteria, and the analyzed papers included 44 case series and 11 case reports. All statistical analyses were performed using R open-access statistical software with a P -value of <0.05.
RESULTS: Medial rectus involvement upon initial presentation was statistically different between surgical and conservatively managed groups (1±0.4 versus 0±0, P =0.008). When analyzing postoperative symptom differences among 738 surgically treated patients and 214 conservatively treated patients, most experienced no symptoms (79.1% versus 85.0%, ns). Diplopia was the most common postoperative complaint for the surgically treated group (10.3%), whereas enophthalmos was the most common in the conservatively treated group (8.4%). Surgically managed patients had a higher incidence of diplopia (29.8%±6.7% versus 3.7%±2.3%, P <0.01) and concomitant injuries (15.2%±5.6% versus 0.0%±0%, P =0.01).
CONCLUSION: Although surgical and conservative groups had similar postoperative courses, the initial presentation of these groups differed from each other. These differences in the presentation can help guide practitioners in making clinical decisions on whether to treat their patients surgically or conservatively.
METHODS: A comprehensive search was conducted in Cochrane, Medline, and Embase databases on 11/1/2020 with the date range of January 1960 to July 2019 to find published systematic reviews, case series, and clinical research articles. A total of 1321 articles were reviewed, of which 55 papers met our inclusion criteria, and the analyzed papers included 44 case series and 11 case reports. All statistical analyses were performed using R open-access statistical software with a P -value of <0.05.
RESULTS: Medial rectus involvement upon initial presentation was statistically different between surgical and conservatively managed groups (1±0.4 versus 0±0, P =0.008). When analyzing postoperative symptom differences among 738 surgically treated patients and 214 conservatively treated patients, most experienced no symptoms (79.1% versus 85.0%, ns). Diplopia was the most common postoperative complaint for the surgically treated group (10.3%), whereas enophthalmos was the most common in the conservatively treated group (8.4%). Surgically managed patients had a higher incidence of diplopia (29.8%±6.7% versus 3.7%±2.3%, P <0.01) and concomitant injuries (15.2%±5.6% versus 0.0%±0%, P =0.01).
CONCLUSION: Although surgical and conservative groups had similar postoperative courses, the initial presentation of these groups differed from each other. These differences in the presentation can help guide practitioners in making clinical decisions on whether to treat their patients surgically or conservatively.