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Orbital fractures treated in Auckland from 2010-2015: review of patient outcomes.

Abstract The purpose of this study was to review patient outcomes from surgical reconstruction of isolated orbital fractures, performed by the Auckland District Health Board (ADHB) Oral and Maxillofacial Surgery service (OMFS), from 2010 to 2015. In particular, we wished to assess titanium as an orbital reconstructive material and compare outcomes with the international literature.
PMID
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Authors

Mayor MeshTerms

Titanium

Keywords
Journal Title the new zealand medical journal
Publication Year Start




PMID- 28694536
OWN - NLM
STAT- MEDLINE
DA  - 20170711
DCOM- 20170724
LR  - 20170724
IS  - 1175-8716 (Electronic)
IS  - 0028-8446 (Linking)
VI  - 130
IP  - 1458
DP  - 2017 Jul 07
TI  - Orbital fractures treated in Auckland from 2010-2015: review of patient outcomes.
PG  - 21-26
AB  - AIM: The purpose of this study was to review patient outcomes from surgical
      reconstruction of isolated orbital fractures, performed by the Auckland District 
      Health Board (ADHB) Oral and Maxillofacial Surgery service (OMFS), from 2010 to
      2015. In particular, we wished to assess titanium as an orbital reconstructive
      material and compare outcomes with the international literature. METHOD: Hospital
      records for 103 adults (>18 years old) who underwent repair of isolated orbital
      fractures by the OMFS department at Middlemore Hospital, between 2010 and 2015,
      were reviewed. Information collected included patient characteristics, cause of
      injury, type of reconstruction material used and post-operative complications.
      Patients were then followed up by means of a verbal telephone questionnaire.
      RESULTS: The majority of patients were male in the 18-30 year age group, with
      interpersonal violence being the leading cause of injury. Titanium was the
      preferred choice of reconstructive material. Seven patients required return to
      theatre to resolve post-operative complications. Sixty-four patients could be
      contacted by telephone (12 months to six years follow-up). Thirty patients, who
      could not be contacted by telephone, did attend clinic follow-up and were
      assessed from their hospital records (minimum of one month follow-up). Ten
      patients could not be contacted by telephone and had not attended clinic
      follow-up. Problems with diplopia, paraesthesia and cosmesis were within
      complication rates reported in the literature. CONCLUSION: Patients with isolated
      orbital fractures, treated by the Oral and Maxillofacial Surgery Department in
      Auckland from 2010-2015, were reviewed. Titanium was the most commonly used
      reconstructive material and proved to be well tolerated. Complication rates were 
      within international norms.
FAU - Anand, Lanit
AU  - Anand L
AD  - Oral & Maxillofacial Registrar, Oral Health Department, Middlemore Hospital,
      Auckland.
FAU - Sealey, Christopher
AU  - Sealey C
AD  - Oral & Maxillofacial Surgeon, Auckland DHB, Auckland.
LA  - eng
PT  - Journal Article
DEP - 20170707
PL  - New Zealand
TA  - N Z Med J
JT  - The New Zealand medical journal
JID - 0401067
RN  - D1JT611TNE (Titanium)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Diplopia/*epidemiology/etiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - New Zealand
MH  - Orbital Fractures/*surgery
MH  - Postoperative Complications/*epidemiology
MH  - Reconstructive Surgical Procedures/*methods
MH  - Retrospective Studies
MH  - *Titanium
MH  - Treatment Outcome
MH  - Young Adult
COI - Nil.
EDAT- 2017/07/12 06:00
MHDA- 2017/07/25 06:00
CRDT- 2017/07/12 06:00
PST - epublish
SO  - N Z Med J. 2017 Jul 7;130(1458):21-26.