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The patients were evaluated by age, gender, etiology, fracture pattern, defect size, surgical treatment and complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The average patient age was 46.2 (\u00b1\u200920.8). Most fractures (37.5%) occurred in the age between 16 and 35. Seventy-two percent of patients were male while 28% were female. The most common cause of injury was physical assault (32.0%) followed by falls (30.8%) and traffic accidents (17.0%). The average orbital wall defect size was 297.9\u00a0mm<jats:sup>2<\/jats:sup> (\u00b1\u2009190.8\u00a0mm2). For orbital floor reconstruction polydioxanone sheets (0.15\u00a0mm 38.3%, 0.25\u00a0mm 36.2%, 0.5\u00a0mm 2.8%) were mainly used, followed by titanium meshes (11.5%). Reconstructions with the 0.15\u00a0mm polydioxanone sheets showed the least complications (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01, <jats:italic>r<\/jats:italic>\u2009=\u20090.15). Eighteen percent of patients who showed persistent symptoms and post-operative complications: 12.9% suffered from persistent hypoesthesia, 4.4% suffered from post-operative diplopia and 3.9% showed intra-orbital hematoma.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Results of the clinical outcome in our patients show that 0.15\u00a0mm resorbable polydioxanone sheets leads to significantly less post-operative complications for orbital floor defects even for defects beyond the recommended 200\u00a0mm<jats:sup>2<\/jats:sup>.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00068-021-01716-x","type":"journal-article","created":{"date-parts":[[2021,6,14]],"date-time":"2021-06-14T16:02:59Z","timestamp":1623686579000},"page":"1427-1436","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Orbital floor fractures: epidemiology and outcomes of 1594 reconstructions"],"prefix":"10.1007","volume":"48","author":[{"given":"Lukas Benedikt","family":"Seifert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Mainka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6676-9301","authenticated-orcid":false,"given":"Carlos","family":"Herrera-Vizcaino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rene","family":"Verboket","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Sader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,6,14]]},"reference":[{"key":"1716_CR1","unstructured":"Traumaregister DGU. 2017. 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