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[Computed tomography in orbital trauma].

K H Schlolaut1, T Krahe, N Leipner

  • 1Radiologische Klinik, Universität Bonn.

Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|August 1, 1990
PubMed
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Computed tomography (CT) effectively diagnoses orbital trauma, identifying fractures, bleeding, and foreign bodies in 104 patients. CT imaging provides certainty in detecting bony injuries and associated injuries to orbital and peri-orbital structures.

Area of Science:

  • Radiology
  • Ophthalmology
  • Trauma Surgery

Background:

  • Orbital trauma can result in significant morbidity.
  • Accurate diagnosis is crucial for effective management of orbital injuries.

Purpose of the Study:

  • To evaluate the diagnostic utility of computed tomography (CT) in patients with traumatic orbital lesions.
  • To identify common CT findings in orbital trauma.

Main Methods:

  • Retrospective analysis of CT scans from 104 patients with traumatic orbital lesions.
  • Detailed review of bony fractures, soft tissue injuries, and foreign bodies.

Main Results:

  • CT diagnosed 84 orbital fractures in 58 patients.
  • Findings included peri-orbital bleeding (18 cases), ruptured globe (2 cases), foreign bodies (20 cases), associated paranasal sinus fractures (22 cases), mucosal abnormalities (59 cases), and orbital emphysema (22 cases).

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Conclusions:

  • CT is highly valuable for diagnosing bony orbital trauma.
  • CT provides certainty in identifying orbital fractures and associated peri-orbital injuries.