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Involvement of orbit in maxillofacial fractures: 'Evaluation of its spectrum, characteristics, and treatment in 200 patients'—Prospective study
- Source :
- Journal of Cosmetic Dermatology. 19:3302-3306
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- Background To evaluate the orbital involvement epidemiology in facial fractures, the clinical distribution and effects of orbital involvement in these patients, the frequency and nature of treatment procedures performed for these involvements, and the immediate- and intermediate-term effects of these treatment procedures. Methods Two hundred patients with hard tissue maxillofacial injuries were included in this study. Clinical examination was performed in-depth. Images were taken to determine and confirm clinical observations and to finalize treatment modality. Orbital involvement in patients was noted as present or absent. The clinical effects and features in postoperative imaging studies were noted until 3 months after trauma in each patient. Results Out of 200 patients, about one-third patients (58;29%) had orbital involvement and out of which 49 were males. Regarding clinical-radiological signs in orbit involved fractures, the incidences were variable, that is, periorbital ecchymosis (77.6%), periorbital edema (74.1%), subconjunctival hemorrhage (67.2%), palpable step/crepitus in orbital rim (62.1%), infraorbital nerve paresthesia (46.6%), restricted globe movement (5.2%), orbital rim discontinuity/step (72.4%), maxillary sinuses (51.7%), orbital wall/floor/roof rupture (55.2%), and infraorbital foramen involvement (36.2%). Palpable step/crepitus in orbital rim was recovered remarkably earlier in patients of open reduction internal fixation (ORIF) group, and features of restricted globe movements, orbital rim discontinuity/step, orbital wall/floor/roof rupture, and infraorbital foramen involvement in patients were recovered immediately after open reduction and internal fixation treatment. Conclusion Early repair of the maxillofacial injuries with orbital involvement has better functional and esthetic outcome.
- Subjects :
- Male
medicine.medical_specialty
genetic structures
medicine.medical_treatment
Ecchymosis
Infraorbital foramen
Periorbital Edema
Dermatology
Fracture Fixation, Internal
030207 dermatology & venereal diseases
03 medical and health sciences
Infraorbital nerve
0302 clinical medicine
Humans
Medicine
Internal fixation
Prospective Studies
Orbital Fracture
Orbital Fractures
Crepitus
business.industry
eye diseases
Surgery
medicine.anatomical_structure
030220 oncology & carcinogenesis
Female
Maxillofacial Injuries
sense organs
medicine.symptom
business
Orbit
Orbit (anatomy)
Subjects
Details
- ISSN :
- 14732165 and 14732130
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- Journal of Cosmetic Dermatology
- Accession number :
- edsair.doi.dedup.....89ee795fc8e7f9de62a7765e8b597f09