New anthropometric data for preoperative planning in orbital wall fracture treatment: the use of eyelid drooping

Lee, Han Byul; Lee, Soo Hyang

doi:10.7181/acfs.2018.02096

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…In this study, a direct, positive correlation was identified be-tween the enophthalmometric difference and the fracture size, and the value of 1.81 cm 2 was determined as the cutoff to predict the occurrence of enophthalmos with a sensitivity of 0.543 and a specificity of 0.724. Although this value does not significantly differ from the criterion of 2 cm 2 in adults, and considering that previous studies [6,10,13] have reported that defects sized up to 2.3-2.6 cm 2 should not cause cosmetic problems, it can be established as a sufficient criterion for the pediatric population. Given that the average age of the non-operated patients was 11.95 ± 3.04 years, and that their midface would have developed similar to that of an adult, this may have introduced bias.…”

Section: -Specificitymentioning

confidence: 74%

“…In adults, indications for surgical treatment of orbital fractures are: radiographic evidence of an extensive fracture that can result in muscle incarceration, causing double vision, enophthalmos, or exophthalmos; orbital volume change; and visual acuity deficit or blow-in fracture caused by a presumed invasion of the optical canal by the fracture that does not react to steroids. The criteria for extensive pure orbital fractures are a fracture size of over 2 cm 2 or a bony defect greater than 50% [5][6][7][8][9][10].…”

Section: Surgical Indication Analysis According To Bony Defect Size Imentioning

confidence: 99%

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Surgical indication analysis according to bony defect size in pediatric orbital wall fractures

Kim

Choi

Hwang

et al. 2020

Arch Craniofac Surg

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Background: Orbital fractures are the most common pediatric facial fractures. Treatment is conservative due to the anatomical differences that make children more resilient to severe displacement or orbital volume change than adults. Although rarely, extensive fractures may result in enophthalmos, causing cosmetic problems. We aimed to establish criteria for extensive fractures that may result in enophthalmos. Methods: We retrospectively reviewed the charts of patients aged 0-15 years diagnosed with orbital fractures in our hospital from January 2010 to February 2019. Computed tomography images were used to classify the fractures into linear, trapdoor, and open-door types, and to estimate the defect size. Data on enophthalmos severity (Hertel exophthalmometry results) and fracture pattern and size at the time of injury were obtained from patients who did not undergo surgery during the follow-up and were used to identify the surgical indications for pediatric orbital fractures. Results: A total of 305 pediatric patients with pure orbital fractures were included-257 males (84.3%), 48 females (15.7%); mean age, 12.01 ± 2.99 years. The defect size (p = 0.002) and fracture type (p = 0.017) were identified as the variables affecting the enophthalmometric difference between the eyes of non-operated patients. In the linear regression analysis, the variable affecting the fracture size was open-door type fracture (p < 0.001). Pearson's correlation analysis demonstrated a positive correlation between the enophthalmometric difference and the bony defect size (p = 0.003). Using receiver operating characteristic curve analysis, a cutoff value of 1.81 cm 2 was obtained (sensitivity, 0.543; specificity, 0.724; p = 0.002). Conclusion: The incidence of enophthalmos in pediatric pure orbital fractures was found to increase with fracture size, with an even higher incidence when open-door type fracture was a cofactor. In clinical settings, pediatric orbital fractures larger than 1.81 cm 2 may be considered as extensive fractures that can result in enophthalmos and consequent cosmetic problems.

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Section: -Specificitymentioning

confidence: 74%

Section: Surgical Indication Analysis According To Bony Defect Size Imentioning

confidence: 99%

Surgical indication analysis according to bony defect size in pediatric orbital wall fractures

Kim

Choi

Hwang

et al. 2020

Arch Craniofac Surg

View full text Add to dashboard Cite

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Complete Preservation of Orbital Fat by Restoration of Attenuated Orbital Septa Using an Acellular Dermal Matrix in Lower Blepharoplasty

Choi,

Lee,

Hong

et al. 2024

Aesth Plast Surg

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Big Data Statistical Analysis of Facial Fractures in Korea

et al. 2020

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Background:The big data provided by Health Insurance Review and Assessment (HIRA) contains data from nearly all Korean populations enrolled in the National Health Insurance Service. We aimed to identify the incidence of facial fractures and its trends in Korea using this big data from HIRA. Methods: We used the Korean Standard Classification of Disease and Cause of Death 6, 7 for diagnosis codes. A total of 582,318 patients were included in the final analysis. All statistical analyses were performed using SAS software and SPSS software. Results: The incidence of facial fractures consistently declined, from 107,695 cases in 2011 to 87,306 cases in 2016. The incidence of facial fractures was the highest in June 2011 (n = 26,423) and lowest in January 2014 (n = 10,282). Nasal bone fractures were the most common, followed by orbit and frontal sinus fractures. The percentage of nasal bone fractures declined, whereas those of orbital fractures increased from 2011 to 2016 (P < 0.001). Among orbital fractures, inferior wall fractures were the most common, followed by medial wall fractures. Among mandibular fractures, angle fractures were the most common, followed by condylar process and symphysis fractures. Although it was difficult to predict the most common type of zygomatic and maxilla fractures, their incidence consistently declined since 2011. Conclusion:We observed trends in facial fractures in Korea using big data including information for nearly all nations in Korea. Therefore, it is possible to predict the incidence of facial fractures. This study is meaningful in that it is the first study that investigated the incidence of facial fractures by specific type.

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New anthropometric data for preoperative planning in orbital wall fracture treatment: the use of eyelid drooping

Cited by 3 publications

References 12 publications

Surgical indication analysis according to bony defect size in pediatric orbital wall fractures

Surgical indication analysis according to bony defect size in pediatric orbital wall fractures

Complete Preservation of Orbital Fat by Restoration of Attenuated Orbital Septa Using an Acellular Dermal Matrix in Lower Blepharoplasty

Big Data Statistical Analysis of Facial Fractures in Korea

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