Study on Balloon-Assisted Primary Bone Fragment Repositioning in Orbital Wall Fractures
Author: Wenwen Yang
Base Hospital / Institution: Chongqing Emergency Medical Center
Rapid fire oral presentation
Abstract ID: 24-304
Purpose
Some orbital surgeons believe that due to the thinness of the orbital wall, it is difficult to restore and secure the original position of the orbital wall during fractures. As a result, artificial materials are often used to reconstruct the bone defect areas. In this study, we retrospectively analyzed the surgical outcomes of orbital wall fractures over a three-year period, comparing a balloon support group with a non-balloon support group.
Methods
A retrospective analysis was conducted on 19 patients with orbital wall fractures who underwent surgical repair at our hospital between March 2021 and March 2024. Five patients underwent primary orbital wall fracture repair with temporary balloon support and no orbital implants, while 14 patients underwent orbital wall reconstruction using artificial implants. Preoperative and postoperative Naugle scale scores and orbital volumes at six months postoperatively were compared. Follow-up assessments included maxillary sinus inflammation, patient postoperative experience, and complications such as balloon rupture.
Results
Among the patients who underwent primary orbital wall fracture repair using transmaxillary sinus balloon support, all five achieved successful outcomes with no complications, no maxillary sinus inflammation, and no balloon ruptures. The orbital volume in the balloon group significantly improved compared to preoperative measurements, and there was no significant statistical difference in postoperative orbital volume compared to the unaffected side. Both groups showed significant improvement in postoperative orbital volume compared to preoperative measurements, with no significant statistical difference in orbital volume compared to the unaffected side. There was no significant statistical difference in the postoperative orbital volume deviation between the two groups.
Conclusion
The temporary balloon support technique via the natural maxillary sinus opening can achieve good results in primary orbital wall fracture repair. The technique is safe and effective, and can reduce the economic burden on patients.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Jindou | Tao | Chongqing Emergency Medical Center |
| Zaihong | Chen | Chongqing Emergency Medical Center |
| Jue | Liu | Chongqing Emergency Medical Center |
