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Updated: Oct 8, 2025
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
354
Do Racial Differences in Orbital Volume Influence the Reconstruction of Orbital Trauma
Dina Amin1, James Jeong2, Andrew J Manhan3
1Assistant Professor in Oral and Maxillofacial Surgery, Department of Surgery, Emory University School of Medicine, Director of Oral and Maxillofacial Surgery Outpatient Clinic, Grady Memorial Hospital, Atlanta, GA.
Summary
Orbital volume (OV) in African American females is smaller than in Caucasian females, potentially impacting orbital reconstruction. No significant differences were found between genders or laterality in males.
Area of Science:
- Craniofacial surgery
- Medical imaging
- Anthropometry
Background:
- Accurate orbital volume (OV) restoration is crucial for successful orbital reconstruction.
- Understanding racial differences in OV is important for surgical planning.
Purpose of the Study:
- To investigate potential differences in orbital volume (OV) between African American (AA) and Caucasian subjects.
- To inform surgical approaches in orbital reconstruction.
Main Methods:
- Retrospective observational study of 60 subjects (120 orbits) with maxillofacial CT scans.
- Orbital volume calculated using OsiriX MD software by two independent examiners.
- Statistical analysis using independent samples t-test to compare OV between racial groups and genders.
Main Results:
- No significant difference in mean OV between AA (22.38 cm³ ) and Caucasian (23.23 cm³) subjects (P=.07).
- No significant difference in mean OV between AA males (23.92 cm³) and Caucasian males (24.17 cm³) (P=.71).
- Significantly smaller mean OV in AA females (20.84 cm³) compared to Caucasian females (22.28 cm³) (P=.013).
Conclusions:
- African American females exhibit a smaller orbital volume compared to Caucasian females, which may affect orbital reconstruction outcomes.
- Laterality (left vs. right orbit) did not show significant differences in OV for either racial group.
- These findings highlight the need for race-specific considerations in orbital volume restoration during reconstructive surgery.
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