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Master Thesis

Le traitement chirurgical des fractures du plancher orbitaire : étude rétrospective réalisée au CHU de Caen sur une période de 11 ans

Abstract : Introduction: Orbital floor fracture is surgically treated if a diplopia or an enophthalmos persist. The availability of many floor reconstruction materials makes this surgery complex. This thesis main objective is to analyse the different modalities of orbital floor fractures surgical treatment at the University Hospital Centre in Caen. Material and methods: A descriptive retrospective study has been conducted in University Hospital Centre in Caen over a period of 11 years, including all patients operated on orbital floor fracture. The type of fracture, the material used, the approach and the time of take care were compared between group A without revision and group B presenting an indication of surgical revision. Results: On 130 included patients, a revision was ordered on 22. Although results are not statistically significant, the use of titan mesh induced more revisions than PDS plate or cartilaginous graft. Take care the patient 30 days after the traumatism was also a risk factor. The number of postoperative ectropion was greater with the sub-ciliary approach. Conclusion: The time between traumatism and surgery, the surgical approach and the choice in the material of orbital floor reconstruction have an impact on postoperative results, whether they are functional or aesthetic.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03327593
Contributor : Ufr Santé Unicaen <>
Submitted on : Friday, August 27, 2021 - 12:32:51 PM
Last modification on : Saturday, September 4, 2021 - 3:26:11 AM

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  • HAL Id : dumas-03327593, version 1

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Jeanne Rosette. Le traitement chirurgical des fractures du plancher orbitaire : étude rétrospective réalisée au CHU de Caen sur une période de 11 ans. Médecine humaine et pathologie. 2021. ⟨dumas-03327593⟩

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