Analysis of postoperative complications of orbital fracture

Abstract

Abstract Objective To analyze the types and causes of complications after orbital fracture reconstruction, and improve the ability of clinicians to control or prevent orbital fracture complications. Methods A retrospective case series analysis was conducted, and the clinical data of patients with orbital fractures who were treated in the Affiliated Eye Hospital of Nanchang University from May 2012 to May 2022 and underwent surgical treatment were collected and analyzed retrospectively. Descriptive statistics were used to record the common postoperative complications and follow-up was done, and the complications that still existed after at least 6 months of follow-up were recorded. Results Among the 227 patients who underwent orbital fracture surgery, they were followed up for 6–36 months, and complications occurred in 15 cases, with an incidence rate of 6.61%. Among them, implant material infection and rejection occurred in 4 cases, persistent diplopia occurred in 3 cases, intraorbital hematoma occurred in 2 cases, epiphora occurred in 2 cases, lower eyelid eversion or retraction occurred in 2 cases, and skin scars occurred in 2 cases. The main reason for postoperative infection is chronic inflammation in the paranasal sinuses or closed cavity in the fracture area. Postoperative complications of orbital fractures are related to various factors such as the timing of surgery, surgical approach, repair materials, surgical skills, and surgical auxiliary techniques. Conclusion Standardizing the operation method and applying precise auxiliary technology may help to reduce the occurrence of complications and improve the success rate of the operation.