Non-Cochrane · prognostic · PM42719934
Pilot Study: Facial Trauma Reconstruction Outcomes: Systematic Review and Meta-analysis.
Nadeem-Tariq Ahmed, La Guardia Jonnby, Childers Evan, et al. · Plastic and reconstructive surgery. Global open · 2026 · PubMed · doi:10.1097/gox.0000000000007939
Findings
Population Adults with orbital fractures undergoing reconstruction
2 findings
| Orbital fracture reconstruction | None | Diplopia Varied by study | Proportion 0.16 [0.00, 0.33] GRADE not reported 4 studies · 86 participants |
| Orbital fracture reconstruction | None | Enophthalmos Varied by study | Proportion 0.15 [0.05, 0.26] GRADE not reported 3 studies · 45 participants |
Included primary studies 9
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Elegbede 2018 Patient-reported Outcomes in Facial Reconstruction: Assessment of FACE-Q Scales and Predictors of Satisfaction. PMID:30656106 | 2018 | this review only | not stated | not extracted yet |
| Kruschewsky 2011 Fractured orbital wall reconstruction with an auricular cartilage graft or absorbable polyacid copolymer. PMID:21772204 | 2011 | this review only | not stated | not extracted yet |
| Lee 1998 Reconstruction of orbital floor fractures with maxillary bone. PMID:9440781 | 1998 | this review only | Diplopia; Enophthalmos | not extracted yet |
| Palines 2022 matched by author and year (probable) | NR | this review only | not stated | not extracted yet |
| Rajantie 2020 Health-related quality of life in patients surgically treated for orbital blow-out fracture: a prospective study. PMID:33280065 | 2021 | this review only | Diplopia | not extracted yet |
| Riyadh 2018 Surgical Management of the Recent Orbital War Injury. PMID:29742577 | 2018 | this review only | Enophthalmos | not extracted yet |
| Saman 2014 Postoperative maxillomandibular fixation after open reduction of mandible fractures. PMID:25232835 | 2014 | this review only | not stated | not extracted yet |
| Wu 2017 Single-stage soft tissue reconstruction and orbital fracture repair for complex facial injuries. PMID:27923726 | 2017 | this review only | Diplopia; Enophthalmos | not extracted yet |
| Zunz 2012 Traumatic orbital floor fractures: repair with autogenous bone grafts in a tertiary trauma center. PMID:21664743 | 2012 | this review only | Diplopia | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Adults undergoing surgical reconstruction for facial trauma | Adults (mean age 38 years; study means 29.8 to 48.6) with mandibular, orbital and mixed facial fractures or soft tissue injuries (n=660, 9 studies) |
| Intervention | Surgical interventions for facial trauma reconstruction (ORIF, bone grafting, soft tissue repair) | ORIF, bone grafts, cartilage grafts, absorbable polyacid copolymer, flaps and soft tissue repair |
| Comparison | Not specified | None; single-arm proportions only |
| Outcomes | Functional and aesthetic results, complication rates (infection, nonunion, dehiscence, diplopia, enophthalmos), patient-reported outcomes | Diplopia (n=86, 4 studies), enophthalmos (n=45, 3 studies) pooled; infection, nonunion, wound dehiscence and patient-reported outcomes narrative |
| Study designs | Not specified | 2 RCTs, 2 prospective cohorts, 3 retrospective cohorts, 2 retrospective case series |
| Timing | Follow-up period as reported by each study | Follow-up 1 to 24 months (median 6 months) |