Abstract：
OBJECTIVE: To analyze the types and causes of complications following orbital fracture reconstruction and enhance clinicians\' capacity to manage or prevent such complications.
METHODS: We conducted a retrospective case series analysis, retrospectively collecting and analyzing clinical data of patients with orbital fractures who received surgical treatment at the Affiliated Eye Hospital of Nanchang University from May 2012 to May 2022. Descriptive statistics were employed to document common postoperative complications, and we recorded complications persisting after a minimum 6-month follow-up period.
RESULTS: Among the 227 patients who underwent orbital fracture surgery, they were followed up for 6 to 36 months, and complications occurred in 15 cases, resulting in an incidence rate of 6.61%. These complications included implant material infections and rejections (4 cases), persistent diplopia (3 cases), intraorbital hematomas (2 cases), epiphora (2 cases), lower eyelid eversion or retraction (2 cases), and skin scars (2 cases). The primary cause of postoperative infection was chronic inflammation in the paranasal sinuses or closed cavities within the fracture area. Postoperative complications in orbital fractures were associated with various factors, including the timing of surgery, surgical approach, repair materials, surgical skills, and auxiliary techniques.
CONCLUSIONS: Standardizing surgical techniques and implementing precise auxiliary technologies may reduce the incidence of complications and enhance the operation\'s success rate.
METHODS: We conducted a retrospective case series analysis, retrospectively collecting and analyzing clinical data of patients with orbital fractures who received surgical treatment at the Affiliated Eye Hospital of Nanchang University from May 2012 to May 2022. Descriptive statistics were employed to document common postoperative complications, and we recorded complications persisting after a minimum 6-month follow-up period.
RESULTS: Among the 227 patients who underwent orbital fracture surgery, they were followed up for 6 to 36 months, and complications occurred in 15 cases, resulting in an incidence rate of 6.61%. These complications included implant material infections and rejections (4 cases), persistent diplopia (3 cases), intraorbital hematomas (2 cases), epiphora (2 cases), lower eyelid eversion or retraction (2 cases), and skin scars (2 cases). The primary cause of postoperative infection was chronic inflammation in the paranasal sinuses or closed cavities within the fracture area. Postoperative complications in orbital fractures were associated with various factors, including the timing of surgery, surgical approach, repair materials, surgical skills, and auxiliary techniques.
CONCLUSIONS: Standardizing surgical techniques and implementing precise auxiliary technologies may reduce the incidence of complications and enhance the operation\'s success rate.
摘要：
目的：分析眼眶骨折重建术后并发症的类型和原因，提高临床医师处理或预防此类并发症的能力。
方法：我们进行了回顾性病例系列分析，回顾性收集2012年5月至2022年5月在南昌大学附属眼科医院接受手术治疗的眼眶骨折患者的临床资料。描述性统计用于记录常见的术后并发症，我们记录了至少6个月随访后持续的并发症.
结果：在227例接受眼眶骨折手术的患者中，他们被随访了6到36个月，15例发生并发症，导致发病率为6.61%。这些并发症包括植入材料感染和排斥（4例），持续性复视（3例），眶内血肿(2例),顿唇（2例），下眼睑外翻或缩回（2例），和皮肤疤痕（2例）。术后感染的主要原因是鼻旁窦或骨折区域内闭合腔的慢性炎症。眼眶骨折术后并发症与多种因素相关,包括手术的时机,手术方法,修复材料,手术技巧,和辅助技术。
结论：规范手术技术，实施精准辅助技术，可降低并发症发生率，提高手术成功率。
方法：我们进行了回顾性病例系列分析，回顾性收集2012年5月至2022年5月在南昌大学附属眼科医院接受手术治疗的眼眶骨折患者的临床资料。描述性统计用于记录常见的术后并发症，我们记录了至少6个月随访后持续的并发症.
结果：在227例接受眼眶骨折手术的患者中，他们被随访了6到36个月，15例发生并发症，导致发病率为6.61%。这些并发症包括植入材料感染和排斥（4例），持续性复视（3例），眶内血肿(2例),顿唇（2例），下眼睑外翻或缩回（2例），和皮肤疤痕（2例）。术后感染的主要原因是鼻旁窦或骨折区域内闭合腔的慢性炎症。眼眶骨折术后并发症与多种因素相关,包括手术的时机,手术方法,修复材料,手术技巧,和辅助技术。
结论：规范手术技术，实施精准辅助技术，可降低并发症发生率，提高手术成功率。
