Maxillary-sinus ballooning is used for two weeks to support the reconstructed orbital floor following blowout fractures. This study sought to assess the degree of enophthalmos and oculomotor dysfunction prior to and following balloon removal, as well as the support provided by the balloon. Patients who had orbital floor fracture reconstruction with maxillary-sinus ballooning between July 1, 2015, and June 30, 2018, and completed follow-up two weeks after balloon removal were eligible. The evaluation items included the type of fracture, balloon indwelling duration, degree of enophthalmos in the operated and fellow eyes before and after balloon removal, Hess Area Ratio (HAR%), and changes in balloon volume from insertion to removal. We studied 64 eyes from 64 patients (44 men and 20 women; average age 38.9±14.7 years). Open and closed fractures were found in 55 and 9 patients, respectively. The open- and closed-fracture groups had an average balloon indwelling duration of 11.6±2.1 and 12.6±1.6 days, respectively. The degree of enophthalmos before and after balloon removal in the two groups was 0.18±0.33mm and −0.11±0.29mm (
p=0.16) and 0.06±1.01mm and −0.39±0.88mm (
p=0.45), respectively. The degree of enophthalmos was similar between the groups before and after balloon removal. The pre- and postoperative HAR% in the open- and closed-fracture groups were 52.2%±24.6% and 80.3%±26.4%, (
p<0.0001), respectively, and 58.0%±26.9% and 84.1%±23.0% (
p=0.01). The average change in balloon volume was 22.9%±35.8%, with 15 cases showing volume reduction ≥50% from insertion to removal. There was no significant difference in enophthalmos between cases with ≥50% and <50% leakage of balloon contents. Short-term evaluations demonstrated the efficacy of maxillary-sinus ballooning within 2 weeks in reconstructing the orbital floor following a blowout fracture without enophthalmos and oculomotor dysfunction. Long-term evaluation should be clarified in future studies.
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