Radiological Signs of Periorbital Trauma — The Singapore Experience

Autor:	Amir H Mani, Radwan Almousa, Shen Liang, Gangadhara Sundar, Shantha Amrith
Rok vydání:	2010
Předmět:	Adult Male Facial trauma medicine.medical_specialty Adolescent Computed tomography Facial Bones Statistics Nonparametric Young Adult Age Distribution Injury Severity Score medicine Humans Sex Distribution Child Orbital Fractures Aged Retrospective Studies Aged 80 and over Fracture Healing Analysis of Variance Singapore Nasolacrimal duct medicine.diagnostic_test Optic canal business.industry Incidence Soft tissue Middle Aged medicine.disease Combined Modality Therapy Surgery Road traffic accident Ophthalmology Cross-Sectional Studies Logistic Models medicine.anatomical_structure Child Preschool Radiological weapon Multivariate Analysis Female Tomography X-Ray Computed Male to female business Orbit
Zdroj:	Orbit. 29:307-312
ISSN:	1744-5108 0167-6830
Popis:	To describe the radiological signs and demographic characteristics of patients who suffered facial trauma in South-East Asia.This is a retrospective cross-sectional study of a 399 patients who presented with facial trauma over a 2-year period in a tertiary referral centre in South-East Asia. Patients with available CT scan films were included. Demographics, bony and soft tissue radiology characteristics were analyzed.Male to female ratio was 320 (80%):79 (20%). Most of the facial trauma was due to Road Traffic Accident. Of 399 patients, 273 (68%) showed radiological signs of bone or soft tissue trauma. Of these 273 patients, left to right side involvement was 114 (41.7%) / 82 (30.03%), and 77 (28.2%) had bilateral involvement. Floor was the most involved wall (229[83.8%]) and the most involved rim was the inferior rim (164[60.07%]). There were 39 (14.2%) patients with blowout fracture. Bony nasolacrimal duct was broken in 56 (20.5%) patients. Optic canal fracture was found in 7 (2.5%) patients and it was associated with roof and superior rim fracture (P-values were 0.016, 0.046, respectively). Thirty-three (12.08%) patients had radiological signs of extraocular muscle involvement. Traumatic intracranial signs were associated with roof and superior rim fractures (P 0.001 for both).Floor and inferior rim were the most affected orbital structures in facial trauma. We described radiological risk factors association with optic canal, NLD fracture and intracranial involvement. We described extraocular muscle morphological signs, which could alert to the possibility of orbital floor fracture in equivocal cases.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d318039c8d6e93b0a3763b7edd27f894 https://doi.org/10.3109/01676830.2010.510235 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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