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Comparative Orbital Volumes between a Single Incisional Approach and a Double Incisional Approach in Patients with Combined Blowout Fracture

机译：合并爆裂性骨折患者单切口入路和双切口入路的比较眼眶容积

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摘要

Purpose. Blowout fracture characterized by concurrent floor and medial wall fractures is a rare entity. We compared surgical outcomes between a single approach and a double approach in patients with orbital fracture by measuring the postoperative orbital volume. Methods. We confirmed that 21 (8.5%) of a total of 246 patients with orbital fractures had fractures of the medial wall and floor through a retrospective chart review. Of these, 10 patients underwent the single approach and the remaining 11 patients had the double approach. We performed a statistical analysis of changes between the preoperative and postoperative orbital volumes at a 6-month follow-up. Results. Compared with the contralateral, nonaffected side, the orbital volume was 115.3 (±6.09)% preoperatively and 106.5 (±6.15)% postoperatively in the single approach group and 118.2 (±11.16)% preoperatively and 108.6 (±13.96)% postoperatively in the double approach. These results indicated that there was a significant difference between the preoperative and postoperative orbital volumes in each group (P < 0.05). However there was no significant difference between the single approach and the double approach (P > 0.05). Conclusions. Our results showed that there were no significant differences in surgical outcomes between the two modalities. The treatment modality may be selected based on the surgeons' preference, as well as the fracture type.
机译：目的。以并发的地面和内壁破裂为特征的井喷破裂是罕见的。我们通过测量术后眼眶容积，比较了眼眶骨折患者单次手术和两次手术的手术效果。方法。我们通过回顾性图表检查证实，在总共246例眼眶骨折患者中，有21例（8.5％）患有内壁和地板骨折。在这些患者中，有10位患者接受了单次手术，其余11位患者接受了双次手术。在6个月的随访中，我们对术前和术后眼眶容积之间的变化进行了统计分析。结果。与对侧非患侧相比，单入路组的眼眶体积术前为手术后的115.3（±6.09）％，术后为106.5（±6.15）％，术前为118.2（±11.16）％，术后为108.6（±13.96）％。双重方法。这些结果表明，每组的术前和术后眼眶容积之间存在显着差异（P <0.05）。但是，单刀法和双刀法之间没有显着差异（P> 0.05）。结论。我们的结果表明，两种方式之间的手术结局没有显着差异。可以根据外科医生的喜好以及骨折类型选择治疗方式。

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