Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Surgical Timing of the Orbital "Blowout" Fracture: A Systematic Review and Meta-analysis

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Preparing for Emergency: A Valid, Reliable Assessment Tool for Emergency Cricothyroidotomy Skills

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Panel 1: Epidemiology, natural history, and risk factors

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Panel 3: Recent advances in anatomy, pathology, and cell biology in relation to otitis media pathogenesis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Dynamic soft tissue changes in the orbit after a blowout fracture

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. PET/CT prior to salvage surgery in recurrent head and neck squamous cell carcinoma

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Reliability and validity of The Danish pediatric voice handicap index

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. High-Throughput Sequencing-Based Investigation of Viruses in Human Cancers by Multienrichment Approach

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

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.

OriginalsprogEngelsk
TidsskriftOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
Vol/bind155
Udgave nummer3
Sider (fra-til)387-90
Antal sider4
ISSN0194-5998
DOI
StatusUdgivet - sep. 2016

ID: 49659556