Retrospective Analysis of the Outcomes in Orbital Floor Fractures: Guidelines for Better Strategic Management

Aim: Orbital trauma is considered one of the most commonmaxillofacial traumas with functional and cosmetic impactto eye globe. The main objective is to establish a roadmap for the management of orbital floor fractures.Patients and Methods: One hundred and seventy-threepatients were selected from the database of Mansoura UniversityHospitals with orbital floor fractures who were treatedat the Department of Plastic & Reconstructive Surgery Departmentover past 4 years. Cases were retrospectively reviewedby preoperative clinical findings, management, surgical approaches,and sequelae. Authors evaluated timing and indicationof surgical intervention, surgical outcomes, complications,and materials used for orbital reconstruction.Results: In total, there were (173) cases of orbital fractureswith average age of (23.14) years. The leading cause of thesefractures was motor traffic accident (64.7%). Pure blow-outfractures represent 25% of cases while fractures of inferiororbital rim alone were 45% of cases. Inferior orbital rimassociated with orbital fractures were 30%. 57.2% of patientswere managed surgically while 42.8% patients were managedconservatively. Conchal graft was used in 19 cases for floorreconstruction while 15 cases were managed by titaniummesh. In the follow-up, 10 patients still complain of enophthalmos,while 7 patients still complain of diplopia.Conclusions: Better postoperative results were presentedin cases managed immediately or within two weeks surgically,A guideline for choice of effective protocol for managementwas developed.