Abstract
Orbital fractures are among the most frequent facial traumas. This study retrospectively
analysed patients treated in Umberto I Hospital Trauma-Centre, Sapienza University
of Rome from 1 January 2010 to 31 December 2020. The inclusion criteria were as follows:
diagnosis of pure/impure orbital bone fracture, complete clinical and radiological
records, and a minimum 12-month follow up. Gender, age, aetiology, fracture type,
treatment, and associated complications were analysed using IBM SPSS Statistics, and
p values of <0.05 were considered significant. In total, 1393 patients presented with
orbital trauma, 543 of whom met the inclusion criteria and underwent surgery (394
males (72.6%) and 149 females (27.4%); mean (range) age 39.2 (7–90) years). Assault
(n = 165, 30.4%) was the most common cause of trauma, followed by road traffic accidents
and sports-related incidents. Diplopia was the major symptom at diagnosis (n = 183,
33.6%). Open reduction and internal fixation via a sub-eyelid approach was the preferred
treatment, achieving a significant reduction in the functional changes induced by
fracture (p < 0.05). Our data will aid future studies of maxillofacial traumatology
and suggest that education and prevention measures could reduce the incidence of this
type of trauma.
Keywords
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Article Info
Publication History
Published online: September 24, 2022
Accepted:
September 21,
2022
Received in revised form:
August 29,
2022
Received:
June 16,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
