A questionnaire survey for an orbital blowout fracture medical examination by Japanese otorhinolaryngologists

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

Auris Nasus Larynx Pub Date : 2025-02-20 DOI:10.1016/j.anl.2025.02.004

Yasushi Samukawa , Kosuke Akiyama , Kosuke Takabayashi , Hiroshi Hoshikawa

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引用次数: 0

Abstract

Objective

The status of orbital blowout fracture (BOF) management remains unclear due to the lack of standardized guidelines and limited data from individual facilities. Therefore, the present study aimed to assess current practices for diagnosing, treating, and evaluating BOF among Japanese otorhinolaryngologists.

Methods

A web-based questionnaire was distributed to 1,800 members of the Japanese Rhinologic Society and 621 designated clinical training hospitals. The survey was conducted between May 23 and August 31, 2024, and gathered information on diagnostic procedures, treatment approaches, post-operative evaluations, and complications associated with BOF surgery. Responses from 318 facilities, excluding duplicates, were analyzed.

Results

Out of 318 facilities, BOF surgery was performed in 129 by otolaryngologists. Computed tomography (CT) was the primary diagnostic modality used pre-operatively at all facilities, with Hess screen tests also being widely used (82.1 %). However, post-operative CT usage was significantly lower (55.8 %). Surgical indications were often decided within 1–2 weeks post-injury in most facilities. The most common complication was infra-orbital nerve disorder (19.4 %), followed by nasal bleeding (10.1 %) and anterior superior alveolar nerve disorder (9.3 %). An endoscopic endonasal approach was commonly performed for medial wall fractures, while a combined intra-/extra-nasal technique was frequently conducted for inferior wall fractures. Rigid reconstruction was performed on approximately 50 % of cases, using materials such as absorbable plates and autologous bone.

Conclusion

The present study highlighted significant variations in BOF management among facilities, indicating the need for standardization in evaluation methods and post-operative follow-up.

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来源期刊

Auris Nasus Larynx 医学-耳鼻喉科学

CiteScore

3.40

自引率

5.90%

发文量

169

审稿时长

30 days

期刊介绍： The international journal Auris Nasus Larynx provides the opportunity for rapid, carefully reviewed publications concerning the fundamental and clinical aspects of otorhinolaryngology and related fields. This includes otology, neurotology, bronchoesophagology, laryngology, rhinology, allergology, head and neck medicine and oncologic surgery, maxillofacial and plastic surgery, audiology, speech science. Original papers, short communications and original case reports can be submitted. Reviews on recent developments are invited regularly and Letters to the Editor commenting on papers or any aspect of Auris Nasus Larynx are welcomed. Founded in 1973 and previously published by the Society for Promotion of International Otorhinolaryngology, the journal is now the official English-language journal of the Oto-Rhino-Laryngological Society of Japan, Inc. The aim of its new international Editorial Board is to make Auris Nasus Larynx an international forum for high quality research and clinical sciences.