Background: Orbital fractures, which frequently involve the floor and medial wall, constitute a significant portion of craniomaxillofacial traumatic injuries. Failure to restore the orbital architecture can result in aesthetic and functional sequelae that significantly affect the patient’s quality of life. Three-dimensional (3D) reconstruction provided essential anatomic data, facilitating surgical planning and diagnosis. Methods: This study aimed to investigate 15 cases of patients who underwent surgical intervention for orbital fractures. Radiologic outcome assessment used 3D reconstruction measurements of orbital height, length, width, and globe projection, with the contralateral unaffected orbit as the anatomic control. The patient’s perception was evaluated postoperatively using the adverse effects checklist of the FACE-Q Eye Module. Results: Morphometric analysis demonstrated that orbital dimensions (height, width, and length) were either preserved or restored, exhibiting statistical stability. Preoperative orbital length asymmetry was eliminated postoperatively. However, the globe projection exhibited persistent statistical asymmetries in both the preoperative and postoperative periods compared with the contralateral side control. The patient perception assessment indicated a low frequency and low intensity of self-reported eye-specific adverse effects. The most frequently reported adverse event was ocular irritation. Conclusions: Surgical reconstruction has been demonstrated to be an effective procedure for restoring fundamental orbital dimensions. However, the persistent statistical asymmetry in globe projection indicates the challenge in achieving complete normalization of globe position post-trauma. Surgical effectiveness can be complemented by the patient’s perspective to provide a comprehensive evaluation of functional and aesthetic results.
Passaglia et al. (Mon,) studied this question.