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Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
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Risk Assessment of Isolated Single-Wall Orbit Fractures and Eye Injury
Todd E Thurston1, Anee S Jackson1, Naiman Nazir1
1University of Kansas Medical Center, Department of Plastic Surgery.
The Journal of Craniofacial Surgery
|February 27, 2018
Summary
Ophthalmologic evaluation is crucial for isolated orbit fractures. However, this study found no significant link between the fracture location and eye injury risk, suggesting a need for careful assessment in all cases.
Area of Science:
- Ophthalmology
- Maxillofacial Surgery
- Trauma Care
Background:
- Ophthalmologic evaluation is ideal for isolated orbit fractures to detect globe injury.
- Not all institutions can provide pre-operative ophthalmologic assessment.
- Anatomical location of single-wall orbit fractures may predict ocular injury risk.
Purpose of the Study:
- To determine if the anatomic location of isolated single-wall orbit fractures can predict ocular injury.
- To identify high-risk patients requiring pre-operative ophthalmologic evaluation.
Main Methods:
- Retrospective chart review of maxillofacial trauma patients.
- Inclusion criteria: isolated single-wall orbit fractures.
- Statistical analysis using Fisher exact test.
Main Results:
- 41 of 279 (14.7%) subjects had isolated single-wall orbit fractures.
- Ocular injury occurred in 31.8% of isolated orbit wall fractures.
- No statistically significant association between fracture location and ocular injury (P=0.5000).
Conclusions:
- Isolated orbit wall fractures are common in maxillofacial trauma.
- Ocular injury is frequent (31.8%), with highest incidence in lateral wall fractures (50%).
- Anatomical location did not significantly correlate with eye injury risk.
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