Abstract
Objective: The orbital blowout fracture is a common facial injury, carrying with it a risk of visual impairment and undesirable cosmetic results unless treated properly. Optimal timing of the surgical treatment is still a matter of debate. We set out to determine whether a meta-analysis would bring us closer to an answer to this question.
Data Sources: PubMed, EMBASE, Web of Science, and the Cochrane Library were searched from January 1980 to August 2014. We applied the following inclusion criteria: isolated blowout fractures, presenting early and late surgery groups (<14 and >14 days). Patients were evaluated for diplopia and enophthalmos.
Review Methods: We followed the statements of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses). Pooled odds ratios were estimated with the fixed effects method of Mantel-Haenszel.
Results: We identified 5 studies with available outcome data (N = 442). Patients in the late group showed an odds ratio of 3.3 (P =.027) for persistent postoperative diplopia as compared with the early group. We found no significant difference between the groups when assessing postoperative enophthalmos as an isolated symptom.
Conclusion: We found a significantly increased risk of persistent diplopia in patients who were operated >14 days after the trauma.
| Original language | English |
|---|---|
| Journal | Otolaryngology - Head and Neck Surgery (United States) |
| Volume | 155 |
| Issue number | 3 |
| Pages (from-to) | 387-390 |
| Number of pages | 4 |
| ISSN | 0194-5998 |
| DOIs | |
| Publication status | Published - Sept 2016 |
Keywords
- blowout
- fracture
- orbital
- surgical
- timing