Page 117 - Advanced concepts in orbital wall fractures
P. 117
C6 Figure 3 CT scan of a nonsurgical patient with good clinical outcome (no enophthalmos /
diplopia, only a sequela of persistent infraorbital nerve hypesthesia).
The outcome in the surgical group was worse, with 51 % excellent, good, or acceptable results, and the other patients had poor results. No patients experienced an outcome failure, because there was no revision surgery necessary. It should be noted that the surgical group had worse orthoptic measurements to begin with, which might have contributed to incomplete recovery17,20. It is also likely that the additional trauma of the surgery itself caused sequelae due to adhesions and fibrosis. Another important observation is that although the results were poor in 49 % of
Clinical perspective
115