ABSTRACT
@#
AIM:
To investigate the clinical characteristics and surgical
treatment fororbital wall fracture of
soldiers. <p>
METHODS:
This study choose 58
soldiers(58
eyes)
who had surgical
treatments for orbital wall fracture in our
hospital from January 1st, 2015 to December 31st, 2018. Their demographic characteristics, causes of
injury, fracture sites, preoperative and postoperative
visual acuity,
eye movement,
eye prominence, and operative conditions were recorded and statistically analyzed. The
patients were followed up for 6mo
after treatment. <p>
RESULTS:
All
patients in 58 cases of orbital wall fractures were
male. The <i>P</i>50 age of them was 21, and most of them were 20-29 years old(78%). 45 cases(78%)were injured at
work, in which
boxing injury and impingement
injury were the main causes(74%). Simple medial orbital wall, inferior wall and both of the medial and inferior wall fractures were the common types(91%). The
visual acuity of all the
patients did not change significantly after operation comparing with preoperative
visual acuity. According to the clinical data of postoperative CT and postoperative follow up, no implant displacement,
infection or other serious
complications appeared.
Eye movement disorder of 33
patients were improved. Abnormal suborbital
perception of 7
patients disappeared. And
enophthalmos of 3
patients were corrected. <p>
CONCLUSION:
Young
male soldiers are the main
population of orbital wall fracture. It is of great significance to improve the
protection in daily
training. Surgical
treatment for orbital wall fractures has significant
therapeutic effect. Furthermore, it is very necessary for primary
hospital to develop basic
diagnosis and
treatment.