Characteristics of Orbital Injuries Associated with Maxillofacial Trauma.

Autor: Eng JF; Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA., Younes S; School of Medicine, Baylor College of Medicine, Houston, Texas, USA., Crovetti BR; School of Medicine, Baylor College of Medicine, Houston, Texas, USA., Williams KJ; Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA., Haskins AD; Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA., Hernandez DJ; Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA., Yen MT; Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA., Olson KL; Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA., Allen RC; Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas, USA., Sivam SK; Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2023 Jul; Vol. 133 (7), pp. 1624-1629. Date of Electronic Publication: 2022 Nov 03.
DOI: 10.1002/lary.30477
Abstrakt: Introduction: The incidence of ocular injury associated with maxillofacial trauma remains poorly defined, with reported rates ranging from 0.8% to 92%. Our study aims to more accurately characterize ocular injuries associated with midface fractures.
Methods: We performed a retrospective review of 1677 patients from 2015 to 2020 with midface fractures at a Level I trauma center. Isolated nasal bone and frontal process of the maxilla fractures were excluded. Demographic information, mechanism of injury, need for surgery, and ophthalmologic findings were documented. Statistical analysis was conducted using SPSS.
Results: 773 patients between the ages of 15 and 92 were identified. Trauma most commonly resulted from assault (63.8%). The association between the mechanism of injury and ocular injury was statistically significant (p = 0.003), with 78.6% of gunshot wounds and 44.3% of assault patients having an ocular injury. The Ophthalmology service evaluated 62.6% of cases preoperatively. Minor ocular injury occurred in 36% of patients, including 46.1% of isolated orbital floor, and 28.2% of zygomaticomaxillary complex fractures. Major ocular injury occurred in 10.5% of patients.
Conclusions: Over 10% of patients with midface fractures were found to have major ocular injuries. Ophthalmologic exams should be performed for all patients with midface fractures to guide clinical decision making and prevent further intraoperative ocular insults.
Level of Evidence: Level 4. This study represents a retrospective cohort study analyzing ocular injuries detected in patients presenting to a Level I trauma center with maxillofacial fractures between 2015 and 2020 Laryngoscope, 133:1624-1629, 2023.
(© 2022 The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze: MEDLINE
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