Occular Complaints with Orbiatl Floor Fracture: Management & Follow Up

OBJECTIVES: : Mid face fractures are common fractures in craniofacial region which includes maxillary fractures, naso-orbito-ethmoidial complex fractures, zygomatic fractures, isolated nasal fractures and orbital floor fracture. Orbital fractures require floor or wall reconstruction to correct a cosmetic problem of enophthalmos and functional problem of diplopia. Different alloplastic materials like Teflon, titanium mesh, sialastic material etc and cranial bone, iliac crest, rib, maxillary antral wall or the auricular cartilage are being used to reconstruct Orbital floor defects. Timely surgical intervention can reduce the base line complications and can prevent any permanent functional or cosmetic complaints. The aim of this study was to establish the incidence of diplopia & enophthalmous as base line complications associated with orbital floor fracture and to find role of timely intervention. METHODS: A randomized trial was conducted in the department of Oral &Maxillofacial surgery, King Edward Medical University/Mayo Hospital, Lahore. A total of 60 patients were recruited over a period of 2 years. All patients were followed up at regular intervals. The six month evaluation of Orbital floor reconstruction was done by noting the improvement in diplopia and enophthalmous. SPSS 16.0 was used as to analyze the results. RESULTS: 31.67% patients reported with diplopia, 43.33% patients reported with enophthalmos and 25% reported with both the complaints at base line. Timely surgical intervention lead to (65.0%) improvement of the complaints immediately post-operatively and (71.0%) improvement after 6 months follow up. CONCLUSION: Appropriate timely reconstruction of orbital floor fracture lead to functional (diplopia) & esthetic (enophthalmos) improvement.