Outcomes of Surgical Repair of Adult Naso-Orbital-Ethmoid Fractures: A Systematic Review and Meta-Analysis.

IF 2.2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Laryngoscope Pub Date : 2024-10-18 DOI:10.1002/lary.31805

Keith R Conti, Akash M Bhat, Shaun A Nguyen, Rhonda Rohloff, Jarrod A Keeler

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引用次数: 0

Abstract

Objectives: Adult naso-orbital-ethmoid (NOE) fractures are estimated to account for 5% of all adult facial fractures without published consensus on management. The purpose of this investigation was to assess the available literature regarding the treatment and outcomes of adult naso-orbital-ethmoid fractures.

Data sources: Cochrane Library, PubMed, Scopus, and CINAHL.

Methods: Following PRISMA guidelines, databases were searched from inception through July 25, 2024 for studies pertaining to the treatment of NOE fractures. Measures of interest included patient demographics, associated fractures, type of intervention, and complications.

Results: A total of 16 studies were included for meta-analysis, consisting of 459 patients. The patients included in the analysis had a mean age of 30.6 years (95% CI: 26.9-34.3 years) with a male-to-female gender ratio of 2.7:1. Operative intervention, specifically open reduction and internal fixation (ORIF) (90.1%; 95: CI: 76.6-98.1%), was the most commonly performed management. Closed reduction has been reported for all three types. The most frequently reported complications included nasolacrimal duct obstruction (38.6%; 95% CI: 10.6-71.7%), postoperative epiphora (24.9%; 95% CI: 6.4-50.4%), and telecanthus (20.9%; 95% CI: 1.7-53.5%).

Conclusions: Surgical intervention can be considered for all NOE types. Despite surgical intervention, NOE fractures remain difficult to treat, and inadequate repair may result in complications. Laryngoscope, 2024.

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成人鼻-眶-蝶骨骨折的手术修复效果：系统回顾与元分析》。

目的：据估计，成人鼻眶-耳廓（NOE）骨折占所有成人面部骨折的5%，但目前尚未就治疗方法达成共识。本调查旨在评估有关成人鼻眶-耳廓骨折的治疗和结果的现有文献：数据来源：Cochrane图书馆、PubMed、Scopus和CINAHL：按照 PRISMA 指南，检索了从开始到 2024 年 7 月 25 日的数据库中有关鼻眶-耳廓骨折治疗的研究。相关指标包括患者人口统计学特征、相关骨折、干预类型和并发症：共有 16 项研究被纳入荟萃分析，其中包括 459 名患者。纳入分析的患者平均年龄为 30.6 岁（95% CI：26.9-34.3 岁），男女性别比为 2.7:1。最常用的治疗方法是手术干预，特别是开放复位和内固定术（ORIF）（90.1%；95：CI：76.6-98.1%）。所有三种类型均有闭合复位术的报道。最常见的并发症包括鼻泪管阻塞（38.6%；95% CI：10.6-71.7%）、术后衄血（24.9%；95% CI：6.4-50.4%）和远视角畸形（20.9%；95% CI：1.7-53.5%）：结论：所有NOE类型均可考虑手术干预。结论：可考虑对所有 NOE 类型进行手术干预。尽管有手术干预，NOE 骨折仍然难以治疗，而且不适当的修复可能会导致并发症。喉镜》，2024 年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Laryngoscope 医学-耳鼻喉科学

CiteScore

6.50

自引率

7.70%

发文量

500

审稿时长

2-4 weeks

期刊介绍： The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects