Abstract:AIM: To investigate the clinical characteristics and surgical treatment fororbital wall fracture of soldiers.
METHODS: This study choose 58 soldiers(58 eyes)who had surgical treatments for orbital wall fracture in our hospital from January 1st, 2015 to December 31st, 2018. Their demographic characteristics, causes of injury, fracture sites, preoperative and postoperative visual acuity, eye movement, eye prominence, and operative conditions were recorded and statistically analyzed. The patients were followed up for 6mo after treatment.
RESULTS: All patients in 58 cases of orbital wall fractures were male. The P50 age of them was 21, and most of them were 20-29 years old(78%). 45 cases(78%)were injured at work, in which boxing injury and impingement injury were the main causes(74%). Simple medial orbital wall, inferior wall and both of the medial and inferior wall fractures were the common types(91%). The visual acuity of all the patients did not change significantly after operation comparing with preoperative visual acuity. According to the clinical data of postoperative CT and postoperative follow up, no implant displacement, infection or other serious complications appeared. Eye movement disorder of 33 patients were improved. Abnormal suborbital perception of 7 patients disappeared. And enophthalmos of 3 patients were corrected.
CONCLUSION: Young male soldiers are the main population of orbital wall fracture. It is of great significance to improve the protection in daily training. Surgical treatment for orbital wall fractures has significant therapeutic effect. Furthermore, it is very necessary for primary hospital to develop basic diagnosis and treatment.
