Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic study
Purpose: To determine the influence of different types of orbital fractures on the radiographic post-treatment outcomes. Methods: The investigation was a retrospective cohort study involving CT data of all patients who underwent delayed primary or secondary surgery for orbital/zygomatico-orbital tra...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-02-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_2803_23 |
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| author | Anantanarayanan Parameswaran Elavenil Panneerselvam Bipasha Mukherjee |
| author_facet | Anantanarayanan Parameswaran Elavenil Panneerselvam Bipasha Mukherjee |
| author_sort | Anantanarayanan Parameswaran |
| collection | DOAJ |
| description | Purpose:
To determine the influence of different types of orbital fractures on the radiographic post-treatment outcomes.
Methods:
The investigation was a retrospective cohort study involving CT data of all patients who underwent delayed primary or secondary surgery for orbital/zygomatico-orbital trauma between 2019 and 2021. The sample was divided into three groups 1, 2, and 3: isolated floor, floor and medial wall, and combined orbit and zygomatic complex fractures. The type of orbital fracture was the exposure, while the outcome measures were reduction in enophthalmos and intraorbital volume and linear relationship between the two variables. Data were analyzed for variance between groups and association. Statistical significance was set at < 0.05.
Results:
Forty-four patients (3 females and 41 males) with a mean age of 28.6 years were included in the study. Reductions in enophthalmos (P < 0.001) and intraorbital volume (P = 0.003) demonstrated significant variance between the groups. For every cubic centimeter of reduction in volume, the reduction in enophthalmos was 0.78 mm (P < 0.001) in isolated floor fractures, 0.60 mm (P = 0.013) in combined fractures involving the floor and medial walls, and 0.24 mm (P = 0.456) in combined fractures of the orbit and zygoma.
Conclusion:
Correction of enophthalmos strongly depends on the type of orbital fracture. There exists a significant linear relationship between enophthalmos and intraorbital volume in fractures involving the internal orbit. |
| format | Article |
| id | doaj-art-7f15063cefc040499905797edb87f9c9 |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-7f15063cefc040499905797edb87f9c92025-02-06T05:39:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-02-0173223824310.4103/IJO.IJO_2803_23Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic studyAnantanarayanan ParameswaranElavenil PanneerselvamBipasha MukherjeePurpose: To determine the influence of different types of orbital fractures on the radiographic post-treatment outcomes. Methods: The investigation was a retrospective cohort study involving CT data of all patients who underwent delayed primary or secondary surgery for orbital/zygomatico-orbital trauma between 2019 and 2021. The sample was divided into three groups 1, 2, and 3: isolated floor, floor and medial wall, and combined orbit and zygomatic complex fractures. The type of orbital fracture was the exposure, while the outcome measures were reduction in enophthalmos and intraorbital volume and linear relationship between the two variables. Data were analyzed for variance between groups and association. Statistical significance was set at < 0.05. Results: Forty-four patients (3 females and 41 males) with a mean age of 28.6 years were included in the study. Reductions in enophthalmos (P < 0.001) and intraorbital volume (P = 0.003) demonstrated significant variance between the groups. For every cubic centimeter of reduction in volume, the reduction in enophthalmos was 0.78 mm (P < 0.001) in isolated floor fractures, 0.60 mm (P = 0.013) in combined fractures involving the floor and medial walls, and 0.24 mm (P = 0.456) in combined fractures of the orbit and zygoma. Conclusion: Correction of enophthalmos strongly depends on the type of orbital fracture. There exists a significant linear relationship between enophthalmos and intraorbital volume in fractures involving the internal orbit.https://journals.lww.com/10.4103/IJO.IJO_2803_23enophthalmosorbital fractureorbital fracture clinical featuresorbital fracture surgeryorbital fracture types |
| spellingShingle | Anantanarayanan Parameswaran Elavenil Panneerselvam Bipasha Mukherjee Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic study Indian Journal of Ophthalmology enophthalmos orbital fracture orbital fracture clinical features orbital fracture surgery orbital fracture types |
| title | Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic study |
| title_full | Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic study |
| title_fullStr | Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic study |
| title_full_unstemmed | Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic study |
| title_short | Association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures: A computed tomographic study |
| title_sort | association of fracture type with enophthalmos and intraorbital volume correction in orbital fractures a computed tomographic study |
| topic | enophthalmos orbital fracture orbital fracture clinical features orbital fracture surgery orbital fracture types |
| url | https://journals.lww.com/10.4103/IJO.IJO_2803_23 |
| work_keys_str_mv | AT anantanarayananparameswaran associationoffracturetypewithenophthalmosandintraorbitalvolumecorrectioninorbitalfracturesacomputedtomographicstudy AT elavenilpanneerselvam associationoffracturetypewithenophthalmosandintraorbitalvolumecorrectioninorbitalfracturesacomputedtomographicstudy AT bipashamukherjee associationoffracturetypewithenophthalmosandintraorbitalvolumecorrectioninorbitalfracturesacomputedtomographicstudy |