The Orbital Destruction Intensity Classification-An Easy-to-Use, Numerical Scale for Assessing the Severity of...

Area of Science:

• Trauma Surgery
• Ophthalmology
• Maxillofacial Surgery

Background:

• Orbital fractures pose significant risks due to proximity to the eye and brain.
• Accurate assessment is crucial for effective management and preventing severe consequences.

Purpose of the Study:

• To evaluate the utility of the Orbital Destruction Intensity (ODI) scale in assessing orbital fractures.
• To conduct an epidemiological analysis of orbital fracture cases.

Main Methods:

• Retrospective study of 160 patients (January 2021-June 2024) at a Maxillofacial Surgery Department.
• Analysis included patient demographics, injury details, ODI scores, pathological classification, and treatment outcomes.
• Statistical analysis involved distribution analysis, regression, and Kruskal-Wallis tests (p<0.05 significance).

Main Results:

• Assault was the leading cause of injury (39%).
• Average ODI score was 2.92 ± 1.69.
• Higher ODI scores correlated with increased incidence of zygomaticomaxillary complex fractures and necessitated more complex surgical treatments like microplate osteosynthesis.

Conclusions:

• A significant correlation exists between ODI-based diagnosis, anatomical fracture classification, and treatment strategies.
• The ODI scale accurately reflects injury severity, guiding surgical intervention choices for orbital wall and rim fractures.