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Author Spotlight: Developing Precise and Clinically Relevant Models for Studying Secondary Degeneration in Traumatic Optic Neuropathy
Published on: November 29, 2024
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The Association Between Craniofacial Fracture Patterns and Traumatic Optic Neuropathy
Bashar Hassan1,2, Joshua Yoon1,3, Adekunle Elegbede2
1Division of Plastic and Reconstructive Surgery, R Adams Cowley Shock Trauma Center, Baltimore, MD.
The Journal of Craniofacial Surgery
|March 27, 2024
Summary
Traumatic optic neuropathy (TON) increases vision loss risk after facial trauma. Optic canal and sphenoid sinus fractures are strongly linked to TON development, requiring physician awareness.
Area of Science:
- Ophthalmology
- Trauma Surgery
- Radiology
Background:
- Traumatic optic neuropathy (TON) is a severe complication of craniofacial trauma.
- Significant vision loss occurs in approximately 50% of TON cases.
- Identifying associated fracture patterns is crucial for risk assessment and management.
Purpose of the Study:
- To determine the most common craniofacial fracture patterns associated with traumatic optic neuropathy.
- To analyze the correlation between specific fractures and TON incidence.
Main Methods:
- Retrospective review of craniomaxillofacial CT scans from 2015-2017.
- Inclusion of adult patients with orbital and/or facial fractures.
- Analysis of patients formally diagnosed with TON via ophthalmologic examination.
- Bivariate and multivariate logistic regression to identify significant fracture patterns.
Main Results:
- Out of 574 patients with orbital fractures, 15 (2.6%) were diagnosed with TON.
- Optic canal fractures showed significantly higher odds of TON (aOR 31.8).
- Sphenoid sinus fractures also increased the odds of TON (aOR 8.1).
Conclusions:
- Optic canal and sphenoid sinus fractures are key indicators for increased risk of traumatic optic neuropathy.
- Awareness of these associations is vital for surgeons and physicians managing craniofacial trauma patients.
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