Religia Dacilor Dan Oltean.pdf
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An introduction to religion and theories of religion: a study of the interplay of philosophy, theology, and social consequences of ritual, and the role of religion in modern society.
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This study investigated the outcomes of orbital floor fracture surgery with concomitant orbital trauma. A retrospective chart review was conducted in two tertiary referral centers over a 5-year period (2003-2007). Patient information, surgical management, and postoperative outcomes were recorded. Fifty-seven patients (39 male, 18 female) met inclusion criteria. Mean patient age was 31.3 ± 16.6 years. Fracture patterns were typically comminuted and complex, often extending beyond the orbital apex, causing severe intraorbital and extraconal extraocular muscle injuries. Eleven patients (19%) required concurrent craniotomy for intracranial complications. In-hospital mortality and postoperative complications were 13% and 23%, respectively. Surgery-related adverse events included ipsilateral optic neuropathy (n = 3), postoperative cerebrospinal fluid fistula (n = 3), and secondary hemorrhage (n = 8). Only 2 of 57 patients (3.5%) developed postoperative diplopia. Postoperative visual acuity improved in 31 (54%) patients. Of the remaining 26 patients, 23 (88%) experienced at least a 20/200 Snellen visual acuity at the latest follow-up. Mean improvement in visual acuity was 5.6 ± 5.3 Snellen lines. Risk factors for a poorer outcome included optic neuropathy (p = 0.008) and retrobulbar hemorrhage (p = 0.039). Orbital floor fractures with intraorbital and extraconal injuries can be successfully repaired
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