Abstract
We aimed to study the prevalence of orbital blowout fractures and evaluate the causes
and the location of orbital cavity fractures. In this cross-sectional study, the medical
records of all patients admitted with facial trauma were assessed, sociodemographic
information as well as the aetiology of trauma extracted, and the computed tomographic
images of the patients were reassessed. Location of orbital blowout fractures and
the severity of orbital fractures were evaluated. A total of 203 cases had blowout
fractures (175 male and 28 female patients with a mean (SD) age of 36 (16) years.
Road traffic accidents (n = 139, 69%) were the most common cause of orbital blowout fractures. Falls (n=29, 14%)
and assault (n=20, 10%) were the other causes of trauma to the orbital structure,
which resulted in blowout fractures. The medial wall was the most commonly involved
location (n=81, 40%) followed by orbital floor (n=64, 32%), the combination of medial
wall and floor (n=36, 18%), medial wall and maxilloethmoidal strut combination (n=13,
6%), and all the three locations altogether (n=9, 4%). Most of the blow-out fractures
had mild severity (n=107, 53%). There was a significant relation between the severity
and location of the blowout fractures (p < 0.001).
Keywords
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References
- Orbital anatomy for the surgeon.Oral Maxillofac Surg Clin North Am. 2012; : 525-536
- The estimation of postoperative bleeding after reduction of blowout fracture.J Craniofac Surg. 2015; 26: 873-875
- Orbital blowout fractures: a novel CT measurement that can predict the likelihood of surgical management.Am J Emerg Med. 2017; 35: 112-116
- Orbital blowout fracture location in Japanese and Chinese patients.Jpn J Ophthalmol. 2015; 59: 65-69
- Enophthalmos and diplopia in fractures of the orbital floor.Br J Plast Surg. 1957; 9: 265-274
- Blow-out fracture of the orbit: mechanism and correction of internal orbital fracture.Am J Ophthalmol. 1957; 44: 733-739
- Blowout fractures of the orbit.Br J Plast Surg. 1965; 18: 171-179
- Role of medial orbital wall morphologic properties orbital blow-out fractures.Investig Ophthalmol Vis Sci. 2009; 50: 495-499
- Role of inferior orbital wall morphologic properties in isolated orbital blow-out fracture.Ophthalmic Res. 2012; 47: 1-6
- The paradoxical predominance of medial wall injuries in blowout fracture.J Craniofac Surg. 2015; 26: e752-5
- "Blow-out" fractures of the orbit: an investigation into their anatomical basis.J Laryngol Otol. 1967; 81: 1109-1120
- Effects of infraorbital nerve’s anatomical course on the fracture pattern of the orbital floor.J Plast Reconstr Aesthet Surg. 2018; 71: 490-495
- Surgical anatomy and variations of the infraorbital nerve.Laryngoscope. 2015; 125: 1296-1300
- Facial fractures. Analysis of five years of experience.Arch Otolaryngol. 1973; 97: 288-290
- Surgical anatomy of the orbit.Ann Otol Rhinol Laryngol. 1979; 88: 382-386
- Indications for repositioning of blow-out fractures of the orbital floor based on new objective criteria – tissue protrusion volumometry.Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2017; 161: 403-406
- Epidemiology and predictors of orbital fractures in children.Pediatr Emerg Care. 2018; 34: 21-24
- Orbital blowout fractures and race.Ophthalmology. 2011; 118: 1677-1680
- Association between ocular injuries and internal orbital fractures.J Oral Maxillofac Surg. 2007; 65: 713-720
- Clinical signs of orbital wall fractures as a function of anatomic location.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 96: 149-153
- Medial orbital wall fracture with enophthalmos.J Craniomaxillofac Surg. 1988; 16: 55-59
WHO | Global status report on road safety 2018. WHO. Available from URL: https://www.who.int/violence_injury_prevention/road_safety_status/2018/en/. Available from URL: https://www.who.int/violence_injury_prevention/road_safety_status/2018/en/. Last accessed 30 June 2020.
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Publication history
Published online: July 14, 2020
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© 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.