Evidence map›Paper›PMID 41787905›Full record

ArticleArchives of craniofacial surgery2026

Relationship between the preoperative status of the inferior rectus muscle and recovery time of ocular symptoms in patients with inferior orbital blowout fractures using computed tomography.

Joon Hyuk Lee, Yong Ha Kim, Sung Eun Kim

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Article in Archives of craniofacial surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 authors.

Joon Hyuk LeeDepartment of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Yong Ha KimDepartment of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.
Sung Eun KimDepartment of Plastic and Reconstructive Surgery, Yeungnam University College of Medicine, Daegu, Korea.

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No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInferior orbital blowout fractures (BOF) cause ocular symptoms like diplopia and extraocular muscle limitation, influenced by inferior rectus muscle (IRM) status. This study evaluated the relationship between preoperative IRM status on computed tomography (CT) and ocular symptom recovery time.

methodsThis retrospective study analyzed 127 patients with inferior BOF and ocular symptoms (2012-2024). Inclusion criteria included age 18-80 years and preoperative CT availability. IRM status was assessed for bone interruption, herniation extent, and swelling (short/ long axis ratio < 0.54 or ≥ 0.54). Recovery times were analyzed using t-tests and Kaplan-Meier survival analysis (p< 0.05).

resultsOf 127 patients (mean age, 35 years; 67.7% male), 66 (52.0%) recovered from ocular symptoms within 7 days, 53 (41.7%) within 30-90 days, and eight (6.3%) had diplopia that remained as a permanent sequela at the last follow-up. Diplopia recovery time was longer in IRM-bone contact (16.9± 5.5 days, n= 35) and bone-pierced IRM (29.4± 10.3 days, n= 15) groups versus no-contact (5.1± 4.2 days, n= 77; p= 0.02, t-test). Herniation and swelling showed no significant correlation (p> 0.05).

conclusionPreoperative CT-based assessment of the IRM-bone interface predicts diplopia recovery time, with bone-pierced IRM linked to prolonged recovery. Patients with bone-pierced IRM may require closer follow-up and careful consideration of timely surgical management.

Indexed as

Computed tomographyDiplopiaExtraocular musclesOculomotor muscleOrbital fractures

Identifiers

PMID41787905
PMCPMC12968649

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