Page 115 - Advanced concepts in orbital wall fractures

QoL score during follow-up
QoL significantly improved (p=0.00) in the nonsurgical group with a significant improvement (p=0.00) between 2 weeks and 3 months. There was no significant improvement in the surgical group. The minimum score 2 weeks after trauma or surgery was 25 in the nonsurgical group and 50 in the surgical group. The maximum score was 100 in both groups.
Enophthalmos during follow-up
There was a significant difference (p=0.03) in enophthalmos at follow-up in the surgical group (Table 4). Maximum enophthalmos at first presentation was -2 mm in the nonsurgical group and -3 mm in the surgical group. Maximum enophthalmos at last visit was -2 mm in the nonsurgical group and -1 mm in the surgical group.
Comparison between included patients and drop-outs
Table 5 illustrates the comparisons between the 58 included patients and the 12 drop-outs who were lost to follow-up. The groups were comparable, except for age, gender, and aetiology.
Table 5 Comparison between included patients and drop-outs. C
Included patients (58) Drop-outs (12) 6 Age (mean, range) 49 years, 20-85 years 39 years, 22-78 years
Gender Male 33 (57 %) Male 10 Female 25 (43 %) Female 2 Aetiology Violence 22 (38 %) Violence 6 Fall 17 (29 %) Fall 1
Clinical perspective
Affected side Treatment Location
Severity
Diplopia
BSV score
∆ Hor. duction ∆ Vert. duction Enophthalmos
(16 %) (14 %) (3 %) (62 %) (38 %) (79 %) (21 %) (67 %) (10 %) (23 %) (24 %) (57 %) (17 %) (2 %) (60 %) (40 %)
I 3
II 6
III 3
IV 0 Yes 7 No 5 80.8 (SD 32.2) -8.1 (SD 12.3) -10.4 (SD 22.4) -0.6 mm (SD 1.1)
Traffic 9 Sports 8 Work 2 Left 36 Right 22 Nonsurgical 46 Surgical 12 Floor 39 Medial 6 Both 13
I 11
II 33 III 11 IV 3 Yes 35 No 23 82.8 (SD 25.6) -6.3 (SD 10.0) -11.8 (SD 12.6) -0.7 mm (SD 1.1)
Traffic 0 Sports 5 Work 0 Left 6 Right 6 Nonsurgical 10 Surgical 2 Floor 7 Medial 2 Both 3
(83 %) (17 %) (50 %) (8 %) (0 %) (42 %) (0 %) (50 %) (50 %) (83 %) (17 %) (58 %) (17 %) (25 %) (25 %) (50 %) (25 %) (0 %) (58 %) (42 %)
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