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Association between orbital fracture location and ocular injury: a retrospective study.

Authors :
Read RW
Sires BS
Source :
The Journal of cranio-maxillofacial trauma [J Craniomaxillofac Trauma] 1998 Fall; Vol. 4 (3), pp. 10-5.
Publication Year :
1998

Abstract

Background: Orbital fractures are frequently accompanied by ocular injury. Any findings that provide information for diagnosing a concurrent ocular injury should improve patient care. A greater incidence of severe ocular injury with certain fracture types was hypothesized, based on orbital wall thickness.<br />Methods: A retrospective review of 87 consecutive patients (107 fractured orbits) was performed by the Ophthalmology Department of an urban Level 1 trauma center.<br />Results and Conclusions: Severe injuries were associated with orbital apex fractures (p = 0.00001), with lateral wall fractures (p < 0.04), and with Le Fort Type III fractures (p < 0.02). Moderate injuries were associated with isolated orbital floor fractures (p < 0.01). Apex, lateral wall, and Le Fort Type III fractures have a greater association with severe ocular injuries than other fracture types.

Details

Language :
English
ISSN :
1074-3219
Volume :
4
Issue :
3
Database :
MEDLINE
Journal :
The Journal of cranio-maxillofacial trauma
Publication Type :
Academic Journal
Accession number :
11951421