Related Experiment Video
Updated: Aug 23, 2025
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Characteristics of Orbital Injuries Associated with Maxillofacial Trauma
James F Eng1, Sami Younes2, Brielle R Crovetti2
1Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.
Major ocular injuries affect over 10% of patients with midface fractures. Prompt ophthalmologic exams are crucial for all midface fracture patients to prevent further injury.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Maxillofacial Surgery
Background:
- The incidence of ocular injury in maxillofacial trauma is poorly defined, with wide reported ranges.
- Midface fractures are common injuries requiring careful assessment for associated ocular damage.
Purpose of the Study:
- To accurately characterize the types and incidence of ocular injuries in patients with midface fractures.
- To identify risk factors and patterns of ocular injury associated with specific midface fracture types.
Main Methods:
- Retrospective review of 1677 patients with midface fractures (2015-2020) at a Level I trauma center.
- Exclusion of isolated nasal bone and frontal process of the maxilla fractures.
- Documentation of demographics, injury mechanism, surgical needs, and ophthalmologic findings; statistical analysis performed.
Main Results:
- 773 patients (ages 15-92) were identified; assault was the most common mechanism (63.8%).
- A significant association was found between injury mechanism and ocular injury (p=0.003), with gunshot wounds (78.6%) and assaults (44.3%) showing high rates.
- Major ocular injury occurred in 10.5% of patients; minor ocular injury in 36%.
Conclusions:
- Over 10% of patients with midface fractures sustain major ocular injuries.
- Ophthalmologic examination is recommended for all patients with midface fractures to guide management and prevent intraoperative complications.
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