A Study on Improvement of Diplopia after Surgery for Orbital Floor Fracture
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- Akiyama Kosuke
- Department of Otolaryngology, Faculty of Medicine, Kagawa University
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- Samukawa Yasushi
- Department of Otolaryngology, Faculty of Medicine, Kagawa University
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- Hoshikawa Hiroshi
- Department of Otolaryngology, Faculty of Medicine, Kagawa University
Bibliographic Information
- Other Title
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- 眼窩下壁骨折の術後複視改善についての検討
- ガンカカヘキ コッセツ ノ ジュツゴフクシ カイゼン ニ ツイテ ノ ケントウ
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Abstract
<p> We reviewed orbital floor fractures that were treated surgically at our department. A total of 22 subjects treated between 2014 to 2021, all of whom had undergone endoscopic endonasal repair surgery, were included in this study. The percent Hess area ratio (HAR%) and diplopia grade were assessed before and after the surgery as quantitative and qualitative measures of the surgery outcomes. We defined cure as follows: HAR%>85%, diplopia grade≤1. Cure within 3 months of the surgery was achieved in 73% of the patients, and within 6 months of the surgery in 85.7% of patients. None of the patients needed any additional surgeries. The preoperative HAR% and preoperative diplopia grade were identified as being statistically significantly associated with early cure, and preoperative HAR%<52% and diplopia grade 3 were identified as risk factors for preventing early cure. The results of the present study suggested that diplopia associated with orbital floor fracture improved at least to some degree within 3 months of surgery, but that healing was delayed in cases with severe diplopia prior to the surgery.</p>
Journal
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- Nippon Jibiinkoka Tokeibugeka Gakkai Kaiho(Tokyo)
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Nippon Jibiinkoka Tokeibugeka Gakkai Kaiho(Tokyo) 126 (3), 194-199, 2023-03-20
Japanese Society of Otorhinolaryngology-Head and Neck Surgery
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Details 詳細情報について
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- CRID
- 1390858608253182080
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- NII Book ID
- AA1292408X
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- ISSN
- 24365866
- 24365793
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- NDL BIB ID
- 032767682
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
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- Abstract License Flag
- Disallowed