|
Assessment the results of using nonvascularized iliac bone graft for early reconstruction of traumatic orbital floor fractures
|
|
| Author:
|
, MUKHALLED SALIM ALASADY
|
| Abstract:
|
Background: Fracture of the orbit is common in facial trauma patients. Despite surgical intervention, orbital floor fractures are associated with risk of persisting
sensibility disorders, enophthalmos and permanent diplopia. Failure of prompt recognition and treatment of these injuries may result in significant functional and cosmetic problems Autogenous bone grafts are the gold standard for reconstruction of maxillofacial defects The iliac crest is also considered the most ideal donor site for bone grafting when a large quantity of bone is needed.
Objective: To evaluate the outcome of early repair of orbital floor fractures in regard to diplopia, enophthalmos, extrusion and gait disturbance.
Patients and methods: A total of 15 patients, all with orbital floor fracture, were enrolled 10 of them were having pure blow-out fractures and 5 patients had impure blow-out fractures, all were underwent primary surgical reconstruction of the orbital floor by autogenous anterior iliac crest within 2 – 14 days after injury.
Results: The results were well represented as the following:
Post-operative complications at recipient site included diplopia (13.3%) Enophthalmos (6.7%) and extrosion (6.7%). At the donor site one patient had pain and another one had gait disturbances, both relieved within one month after treatment.
Conclusions: Less complication had been reported post operatively with the use of autogenous iliac bone graft procedure.
|
| Keyword:
|
orbital floor fractures
|
| EOI:
|
-
|
| DOI:
|
https://doi.org/10.31838/ijpr/2020.SP3.110
|
| Download:
|
Request For Article
|
|
|