后眼球内陷和复视的持久性ppt课件.pptVIP

生活家饮食保健孕期选择食用油的学问邢台市第四病院罕见护理应急预案猪气喘病综合防制技术动物营养系列理想蛋白与氨基酸模式的研究进展皮肤病的诊断包括病史体格检查和必要的实验室检查我国有关食物添加剂营养强化剂食物新资本的治理律例与标准 Persistence of Enophthalmos and Diplopia After Transconjunctival vs. Endonasal Repair of Orbital Blowout Fractures Shivani Kamat, MD PI: Geeta Been, MD Background Orbital blowout fractures are common injuries after facial trauma Multiple surgical subspecialties can repair these with the use of various techniques Endoscopic nasal repair Transconjunctival repair Background Pre-operative diplopia and enophthalmos ( 2 mm) are common indications for repair Purpose To conduct a meta-analysis that compares the post-operative persistence of enophthalmos and diplopia between transconjunctival and endonasal repair of orbital blowout fractures Methods Review of 13 retrospective studies describing post-operative diplopia and enophthalmos following endonasal and transconjunctival repair Studies that combined various other approaches were excluded Methods Total of 408 repairs were evaluated 242 transconjunctival 166 endonasal Analysis Fisher’s exact test Results 242 patients with transconjunctival repair 34 (14%) with pre-operative enophthalmos 8 (3%) with post-operative enophthalmos 166 patients with endonasal repair 44 (27%) with pre-operative enophthalmos 9 (5%) with post-operative enophthalmos Odds of persistent enophthalmos were 0.162 and 0.189 for TC and EN repairs Difference between the two approaches was not statistically significant (p= 0.795) Results 242 patients with transconjunctival repair 103 (43%) with pre-operative diplopia 5 (2%) with post-operative diplopia 166 patients with endonasal repair 137 (83%) with pre-operative diplopia 25 (15%) with post-operative diplopia Odds of persistent diplopia were 0.052 and 0.169 for TC and EN repairs Difference between the two approaches was statistically significant (p= 0.005) 生活家饮食保健孕期选择食用油的学问邢台市第四病院罕见护理应急预案猪气喘病综合防制技术动物营养系列理想蛋白与氨基酸模式的研究进展皮肤病的诊断包括病史体格检查和必要的实验室检查我国有关食物添加剂营养强化剂食物新资本的治理律例与标准