Surgical indications of orbital fractures depending on the size of the fault area determined by computed tomography: A systematic review

García, Blas García; Ferrer, Alicia Dean

doi:10.1016/j.maxilo.2014.03.011

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…Many studies have been conducted and showed intriguing evidence in predicting the risks of a PE. Factors such as location of the fracture [ 3 , 15 ], fracture size [ 16 – 18 ] and muscle change [ 19 , 20 ] have been identified as the predictors of PE. However, there is a paucity in the literature in relation to all these factors being analysed simultaneously.…”

Section: Introductionmentioning

confidence: 99%

Predictors of enophthalmos among adult patients with pure orbital blowout fractures

2018

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The aim of this study was to determine the predictors of post-traumatic enophthalmos (PE) in relation to the internal orbital changes following pure orbital blowout fractures. The design was a 10-year retrospective cross-sectional study analysing 629 medical records and computed tomography (CT) data of patients with orbital fractures from January 2008 to January 2017. Demographic, etiology, co-morbidity and clinical characteristics were obtained from the medical records. Assessment of the PE, fracture site and size, intraorbital structures and muscle change were performed using the Digital Imaging and Communications in Medicine (DICOM) viewer software, OsiriX v5.8.2. Of the 629 patients with orbital fractures, 87 were pure orbital blowout fractures. Demographic pattern showed that males outnumbered females in the series, with male: female ratio of 5.7:1. The mean age was 37.2 ± 14.7 and the main etiology was motor vehicle accident. Orbital floor fracture was the most common fracture location (67.8%). The involvement of the posterior ledge and inferior orbital fissure showed statistical significant difference with PE (Fisher’s exact test, p = 0.03). Binary logistic regression showed that after controlling for age, patients with fracture size of more than 150 mm2 had three times the odds of sustaining a PE, (adjusted odds ratio (AOR) = 3.01 (95% CI 1.17–7.92).Fracture size larger than 150 mm2 was a radiological predictor of PE. Additional research investigating further on the role of concurrent fracture of the posterior ledge and inferior orbital fissure is advocated.

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Section: Introductionmentioning

confidence: 99%

Predictors of enophthalmos among adult patients with pure orbital blowout fractures

2018

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“…Epidemiologically, we see that in the White population, OF fractures are the most frequent, whereas in the Asian population MW fractures occur most often. According to Manson (1999) 49 , this may be explained by anatomical differences such as a thinner orbital rim and a more delicate MW in Asians [44][45][46][47][48][49] . The discrepancy in incidence causes a skewed representation of these fractures in different study populations, which makes large clinical studies directly comparing pure OF fractures to pure MW fractures scarce and existing studies on either orbital wall difficult to compare.…”

Section: Fracture Sizementioning

confidence: 99%

CT parameters in pure orbital wall fractures and their relevance in the choice of treatment and patient outcome: a systematic review

Wevers

Strabbing

Engin

et al. 2022

International Journal of Oral and Maxillofacial Surgery

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Computed tomography (CT) is commonly used for the diagnosis, treatment planning, and prognosis of pure orbital fractures of the orbital floor and medial wall. The aim of this study was to systematically review the current literature in order to establish an overview of CT parameters relevant to the choice of treatment and (long-term) clinical outcome for patients treated operatively and conservatively. The PRISMA guidelines were followed. Databases were searched using the terms 'orbital fracture' and 'computed tomography'. Studies evaluating the relationship between CT parameters and the treatment decision or clinical outcome (enophthalmos, diplopia, and/or limitation of ocular movement) were included. The search yielded 4448 results of which 31 were included (except for three, all were retrospective). The systematic use of CT imaging in orbital fractures of the floor and the medial wall can be of great value in the treatment decision and prediction of (long-term) clinical outcomes for both conservatively and surgically treated patients. The following parameters were found to be the most relevant: fracture size, fracture location, orbital volume, soft tissue involvement, and craniocaudal dimension. Although some show great individual potential, it is likely that incorporating all parameters into an algorithm will provide the best predictive power and thus would be the most practically applicable tool.

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Anatomic Variability of the Human Orbit

Tandon

Aljadeff

Sheng

et al. 2020

Journal of Oral and Maxillofacial Surgery

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Surgical indications of orbital fractures depending on the size of the fault area determined by computed tomography: A systematic review

Cited by 6 publications

References 23 publications

Predictors of enophthalmos among adult patients with pure orbital blowout fractures

Predictors of enophthalmos among adult patients with pure orbital blowout fractures

CT parameters in pure orbital wall fractures and their relevance in the choice of treatment and patient outcome: a systematic review

Anatomic Variability of the Human Orbit

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