Abstract
The study objective was to evaluate the outcome of a periosteal suturing technique in eyes with orbital blowout fractures. Fifteen orbital floor fractures were classified into: type 1, linear fracture; type 2, middle fracture; and type 3, posterior fracture extending two-thirds into the orbit. The feasibility of periosteal suturing without silicone plates or one of minimal size was determined. The improvement of ocular movements and surgical complications were evaluated. A complete suture of the torn periosteum without implanting a silicone plate was achieved in 2/2 (100%) type 1 cases, 5/7 (71%) type 2 cases and 0/6 (0%) type 3 cases. A partial fixation was achieved in 3/6 (50%) type 3 cases with an implantation of a silicone plate of approximate one-third of the usual size in one case. Conventional surgery with silicone plates after failed periosteal suture was required in 2/7 (29%) type 2 cases and 3/6 (50%) type 3 cases. Eye movements were improved postoperatively in all eyes, and a complete range of eye movements was achieved in 6/7 (86%) cases with complete periosteal closure, 1/3 (33%) of cases with partial closure and 2/5 (40%) cases without closure. In conclusion, periosteal suturing can minimize the need for silicone plates especially for anterior or middle orbital floor factures.
| Original language | English |
|---|---|
| Pages (from-to) | 364-369 |
| Number of pages | 6 |
| Journal | Clinical and Experimental Ophthalmology |
| Volume | 39 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2011 May |
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Keywords
- Blowout fracture
- Ocular trauma
- Orbital floor fracture
- Periosteal repair
ASJC Scopus subject areas
- Ophthalmology
Cite this
Repair of blowout orbital floor fracture by periosteal suturing. / Noda, Mika; Noda, Kousuke; Ideta, Shinji; Nakamura, Yasuhisa; Ishida, Susumu; Inoue, Makoto; Tsubota, Kazuo.
In: Clinical and Experimental Ophthalmology, Vol. 39, No. 4, 05.2011, p. 364-369.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Repair of blowout orbital floor fracture by periosteal suturing
AU - Noda, Mika
AU - Noda, Kousuke
AU - Ideta, Shinji
AU - Nakamura, Yasuhisa
AU - Ishida, Susumu
AU - Inoue, Makoto
AU - Tsubota, Kazuo
PY - 2011/5
Y1 - 2011/5
N2 - The study objective was to evaluate the outcome of a periosteal suturing technique in eyes with orbital blowout fractures. Fifteen orbital floor fractures were classified into: type 1, linear fracture; type 2, middle fracture; and type 3, posterior fracture extending two-thirds into the orbit. The feasibility of periosteal suturing without silicone plates or one of minimal size was determined. The improvement of ocular movements and surgical complications were evaluated. A complete suture of the torn periosteum without implanting a silicone plate was achieved in 2/2 (100%) type 1 cases, 5/7 (71%) type 2 cases and 0/6 (0%) type 3 cases. A partial fixation was achieved in 3/6 (50%) type 3 cases with an implantation of a silicone plate of approximate one-third of the usual size in one case. Conventional surgery with silicone plates after failed periosteal suture was required in 2/7 (29%) type 2 cases and 3/6 (50%) type 3 cases. Eye movements were improved postoperatively in all eyes, and a complete range of eye movements was achieved in 6/7 (86%) cases with complete periosteal closure, 1/3 (33%) of cases with partial closure and 2/5 (40%) cases without closure. In conclusion, periosteal suturing can minimize the need for silicone plates especially for anterior or middle orbital floor factures.
AB - The study objective was to evaluate the outcome of a periosteal suturing technique in eyes with orbital blowout fractures. Fifteen orbital floor fractures were classified into: type 1, linear fracture; type 2, middle fracture; and type 3, posterior fracture extending two-thirds into the orbit. The feasibility of periosteal suturing without silicone plates or one of minimal size was determined. The improvement of ocular movements and surgical complications were evaluated. A complete suture of the torn periosteum without implanting a silicone plate was achieved in 2/2 (100%) type 1 cases, 5/7 (71%) type 2 cases and 0/6 (0%) type 3 cases. A partial fixation was achieved in 3/6 (50%) type 3 cases with an implantation of a silicone plate of approximate one-third of the usual size in one case. Conventional surgery with silicone plates after failed periosteal suture was required in 2/7 (29%) type 2 cases and 3/6 (50%) type 3 cases. Eye movements were improved postoperatively in all eyes, and a complete range of eye movements was achieved in 6/7 (86%) cases with complete periosteal closure, 1/3 (33%) of cases with partial closure and 2/5 (40%) cases without closure. In conclusion, periosteal suturing can minimize the need for silicone plates especially for anterior or middle orbital floor factures.
KW - Blowout fracture
KW - Ocular trauma
KW - Orbital floor fracture
KW - Periosteal repair
UR - http://www.scopus.com/inward/record.url?scp=79958711029&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79958711029&partnerID=8YFLogxK
U2 - 10.1111/j.1442-9071.2010.02441.x
DO - 10.1111/j.1442-9071.2010.02441.x
M3 - Article
C2 - 20973893
AN - SCOPUS:79958711029
VL - 39
SP - 364
EP - 369
JO - Clinical and Experimental Ophthalmology
JF - Clinical and Experimental Ophthalmology
SN - 1442-6404
IS - 4
ER -