Posttraumatische Bulbusmotilität bei Orbitabodenfrakturen

Jank, Siegfried; Schuchter, Barbara; Strobl, Heinrich; Emshoff, Rüdiger; Baldissera, I.; Nicasi, A.; Norer, B

doi:10.1007/s10006-002-0439-7

Cited by 10 publications

(8 citation statements)

References 13 publications

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“…Postoperatively, enophthalmos was found in only 4 (5%) out of 72 patients and was therefore not an issue in this study. Extent of reduced eye motility can be related to the degree of orbital destruction 15 . More important from a functional point of view is the ability of the patient to achieve binocular single vision, the area of which can be measured using the Harms' tangent screen.…”

Section: Ophthalmologic Examinationmentioning

confidence: 99%

Reconstruction of orbital wall defects: critical review of 72 patients

Jaquiéry

Aeppli

Cornelius

et al. 2007

International Journal of Oral and Maxillofacial Surgery

137

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Section: Ophthalmologic Examinationmentioning

confidence: 99%

Reconstruction of orbital wall defects: critical review of 72 patients

Jaquiéry

Aeppli

Cornelius

et al. 2007

International Journal of Oral and Maxillofacial Surgery

137

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“…As the fractures were most commonly located in the orbital floor, the most restricted gaze direction was upward rotation of the ocular globe, as described by others [9]. Other authors registered diplopia rates of 74% [19], 83% [20] and 86% [11] and a disturbed motility rate of 53.4% [9].…”

Section: Discussionmentioning

confidence: 73%

“…The majority of patients had strong or extreme diplopia and disturbance of ocular motility, whereas Jank et al [9] found only mild or moderate restriction in most of their patients. In contrast to the present data, in the study of Jank et al the commonest etiology of fracture was sportsrelated injuries, followed by traffic accidents.…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Preseptal transconjunctival approach for orbital floor fracture repair: ophthalmologic results in 209 patients

Schmäl

Basel

Grenzebach

et al. 2006

Acta Oto-Laryngologica

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The commonest cause of injury was forms of violence (32%). An isolated fracture of the orbital floor had occurred in 62 cases, while concomitant facial fractures were present in the remaining 147. A total of 24 patients (11%) had an exophthalmos and 13 (9%) an enophthalmos. Most patients (69%) complained of infraorbital dysesthesia. When elevating the eyeball, the majority of patients showed a marked or severe disturbance of ocular motility (53% in abduction; 51% in adduction) and diplopia (37% in abduction; 36% in adduction). Thirteen patients required repeat surgery. After a follow-up period of 2 years, infraorbital dysesthesia was observed in only three patients, one of whom presented with a considerable persistent enophthalmos of 4 mm, and only four patients had persistent reduced motility and diplopia.

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“…Likewise, it has been found that conventional CT and ultrasonography are equally accurate in detecting fractures in the floor and medial wall of the orbit. 34,35 According to these facts, we decided to include cases with fractures in the orbital floor only.…”

Section: Discussionmentioning

confidence: 99%

A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

Johari‬¹,

Ghavimi²,

Mahmoudian³

et al. 2016

Dentomaxillofacial Radiology

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Objectives: To compare the diagnostic performance of ultrasonography and CBCT against CT in detecting orbital floor fractures. Methods: A total of 120 orbits with clinical suspicion of isolated orbital floor fractures underwent multislice CT scanning with coronal reconstruction; orbital ultrasonography using a standard machine equipped with a 7-to 10-MHz linear transducer; and CBCT. Patients with severe head and face injuries were not included. The diagnostic performance of ultrasonography and CBCT was reported assuming conventional CT as the imaging method of choice. Results: According to CT findings, fractures of the floor were present in 39 orbits. The sensitivity, specificity, positive-predictive value and negative-predictive value of ultrasonography in detecting orbital floor fractures were 87.2%, 100%, 100% and 94.2%, respectively. The corresponding values for CBCT were 97.4%, 97.5%, 95.0%, and 98.8%, respectively. Areas under the receiver operator characteristics curves of orbital floor fracture detection were 0.94 for ultrasonography and 0.98 for CBCT. Conclusions: When conventional CT cannot be performed in patients with clinically suspected orbital floor fracture and no severe or complex head and face injuries, CBCT could be used in detecting fractures as a reliable surrogate. Because of a lower sensitivity of ultrasonography, however, its use is limited in this regard.

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Posttraumatische Bulbusmotilität bei Orbitabodenfrakturen

Abstract: Ocular motility can act as an indication of the severity of the orbital fracture. Concomitant injuries to the eye resulted in a higher incidence of reduced ocular motility.

Cited by 10 publications

References 13 publications

Reconstruction of orbital wall defects: critical review of 72 patients

Reconstruction of orbital wall defects: critical review of 72 patients

Preseptal transconjunctival approach for orbital floor fracture repair: ophthalmologic results in 209 patients

A comparable study of the diagnostic performance of orbital ultrasonography and CBCT in patients with suspected orbital floor fractures

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