Considering the Interaction between Surgical Approach and Timing on Complication Rates of Complex Orbital Fracture Repair

Abstract

Objective: The optimal approach and timing of complex orbital fracture repair is an unresolved issue that is complicated by unique clinical presentations and patient-specific considerations. Early surgical repair in less than 14 days is associated with fewer complications; however, there are no guidelines addressing the optimal timing for surgical repair. This study assesses the time of surgical repair and surgical outcomes of complex orbital fractures. Methods: Retrospective chart review from 2010 to 2022. Adult patients with orbital fractures are treated with surgical repair. Results: In all, 94 patients presented with orbital fractures and were treated with 108 surgeries. Postoperative complications: vision disturbance 33/108 (30.6%), gaze restriction 12/108 (11.1%), lid malposition 10/108 (9.3%), globe complication 13/108 (12.0%), and hardware issues 14/108 (13.0%). Postoperative complications were not significantly associated with the surgical approach used for fracture repair or the time of surgical repair. Conclusion: Postoperative complications following surgical repair of orbital fractures are not associated with surgical approach or time of repair following the initial injury.