Systematic review evaluates early versus delayed surgery outcomes in orbital floor fractures, suggesting early surgery improves recovery.
Key Points
This review aimed to evaluate the effectiveness of early versus delayed surgical intervention for orbital floor fractures, focusing on functional and aesthetic outcomes.
Comprehensive literature search of databases including PubMed and Cochrane Library.
Analyzed six comparative studies involving 2,769 patients.
Implemented meta-analysis to assess outcomes like diplopia and enophthalmos based on repair timing.
Early surgical repair significantly reduced persistent diplopia risk (RR 0.43; 95% CI 0.21–0.89; p = 0.02).
Postoperative enophthalmos incidence was low at 2% (95% CI 0.00–0.06), despite noted heterogeneity.
Residual ocular motility dysfunction persisted in 9% of early-treated patients (95% CI 0.05–0.13).