This study investigated postoperative prognosis of orbital floor trapdoor fractures with or without muscle incarceration by retrospectively reviewing medical records and computed tomography scans of appropriate patients. Orbital floor trapdoor fractures were present in nine orbits of nine patients with muscle incarceration and in ten orbits of ten patients without muscle incarceration. All patients were operated on within a couple of days after admission and were observed for more than 6 months postoperatively. Mean time interval between injury and surgery was 4.8 days (range, 1–14 days) in patients with muscle incarceration and 10.3 days (range, 3–31 days) in patients without muscle incarceration. Postoperative fields of binocular single vision fully improved in all patients excluding two patients with muscle incarceration and in all patients without muscle incarceration. Insufficient improvements of ocular movements were observed in two patients with muscle incarceration who had late surgical interventions. Orbital floor trapdoor fractures showed good prognosis in patients with muscle incarceration with emergent surgical intervention, or in patients without muscle incarceration.
European Journal of Plastic Surgery – Springer Journals
Published: Sep 1, 2007
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