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Related Experiment Video

Updated: Oct 24, 2025

Three-Dimensional Reconstruction of Orbital Fractures
08:18

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A Functional Radiological and Soft Tissue Classification to Predict Outcomes in Orbital Fracture Surgery in a

Elizabeth Yang1, Shu-Yi Claire Chan2, Yara Al-Omari1

  • 1Ophthalmology Department, London North West University Healthcare Trust, London, United Kingdom.

Frontiers in Surgery
|August 13, 2021
PubMed
Summary
This summary is machine-generated.

Prognostic factors for successful open reduction and internal fixation (ORIF) of orbital fractures were identified. Pre-operative nerve/muscle damage and infraorbital fissure fractures predict poor outcomes, while an intact posterior ledge indicates success.

Keywords:
CT analysisblow-out fracture of the orbitorbital fracture ORIForbital fracturesorbital reconstructiontrauma

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Trauma Surgery

Background:

  • Orbital fracture repair via open reduction and internal fixation (ORIF) decisions rely on clinical and radiological findings.
  • Identifying prognostic factors is crucial for optimizing surgical outcomes in orbital fracture management.

Purpose of the Study:

  • To identify predictive factors for successful surgical outcomes in patients undergoing ORIF for orbital fractures.
  • To correlate pre-operative findings with post-operative success defined by functional and aesthetic criteria.

Main Methods:

  • A retrospective study of 143 patients treated with ORIF for orbital fractures over 12 years.
  • Data collection included presenting symptoms, orthoptic measurements, fracture characteristics, and surgical outcomes.
  • Univariate and multivariate regression analyses were employed to determine prognostic factors for success.

Main Results:

  • 51% of fractures were complex, involving multiple orbital walls.
  • Pre-operative nerve or muscle damage and infraorbital fissure fractures were associated with poor outcomes (p=0.01, p=0.04 respectively).
  • An intact posterior ledge was a significant predictor of successful outcomes (OR 3.03, p=0.02).

Conclusions:

  • Ocular motility evaluation for neurogenic injury and muscle compartment syndrome is vital.
  • Radiological assessment of the posterior ledge and inferior orbital fissure aids in surgical planning and patient expectation management for ORIF.