5,050 results match your criteria Fracture Orbital


Does postoperative orbital volume predict postoperative globe malposition after blow-out fracture reconstruction? A 6-month clinical follow-up study.

Oral Maxillofac Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Oral and Maxillofacial Diseases, University of Turku and Turku University Hospital, Turku, Finland.

Purpose: The aim of this study was to investigate the relationship between intraorbital volume change caused by orbital fracture and globe malposition (GMP) in blow-out fracture patients undergoing surgery and to clarify the significance of different radiologically detected predictors associated with GMP.

Patients And Methods: A 6-month prospective follow-up study of unilateral isolated orbital fractures was designed and implemented. The main outcome variable was GMP (present or absent); the secondary outcome was orientation of GMP (horizontal or vertical). Read More

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http://dx.doi.org/10.1007/s10006-019-00748-3DOI Listing
February 2019

Equine-related eye injury: a case report of globe rupture and vision loss in a post-stroke hippotherapy patient.

Am Med Stud Res J 2018 ;5(1):110-113

Department of Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, Maryland.

Introduction: Hippotherapy has recently emerged as a horse-based rehabilitative therapy to improve balance, coordination, and strength in patients with a wide range of medical conditions. Although several studies have demonstrated its effectiveness in restoring balance and gait in patients who have suffered cerebrovascular accidents (CVA), few studies have reported on adverse events associated with the treatment.

Case Presentation: This case report describes a female post-stroke patient who fell from a horse during a hippotherapy session. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366632PMC
January 2018

Orbital floor fracture with periorbital haematoma.

BMJ Case Rep 2019 Feb 7;12(2). Epub 2019 Feb 7.

Clinical Sciences, University of Central Florida, Orlando, Florida, USA.

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http://dx.doi.org/10.1136/bcr-2018-227719DOI Listing
February 2019
1 Read

Facial Fractures in Young Adults: A National Retrospective Study.

Ann Otol Rhinol Laryngol 2019 Feb 8:3489419830114. Epub 2019 Feb 8.

1 Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Objectives:: "Young adulthood" is a term used to define individuals falling within the 18- to 22-year-old age range. Injuries account for more than a third of emergency department visits in this population. A particular area of concern is accidents that lead to injuries of the facial bones because they can have long-term functional, aesthetic, and psychosocial impacts. Read More

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http://dx.doi.org/10.1177/0003489419830114DOI Listing
February 2019
2 Reads

Oculorespiratory Reflex During Repair of an Orbital Fracture.

JAMA Otolaryngol Head Neck Surg 2019 Feb 7. Epub 2019 Feb 7.

Division of Facial Plastic & Reconstructive Surgery, Washington University, St Louis, Missouri.

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http://dx.doi.org/10.1001/jamaoto.2018.4056DOI Listing
February 2019

Traumatic Falls in the Pediatric Population: Facial Fracture Patterns Observed in a Leading Cause of Childhood Injury.

Ann Plast Surg 2019 Feb 5. Epub 2019 Feb 5.

University of Mississippi Medical Center, Jackson, MS.

Purpose: Falls are a leading cause of nonfatal injury in the pediatric population, resulting in numerous hospitalizations. Children may not have fully developed reflexive and balancing abilities, rendering them more susceptible to traumatic falls. Here the authors present their findings regarding patterns of facial fracture and concomitant injury seen in the pediatric population secondary to falls. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001861DOI Listing
February 2019
1 Read

[Extended trans-ethmoidal decompression of the orbit for the treatment of frontal sinus mucopyocele].

Vestn Otorinolaringol 2018 ;83(6):55-57

I.M. Sechenov First Moscow State Medical University, Moscow, Russia, 119991.

Mucocele of the paranasal sinuses is a rare disease not infrequently associated with massive bone destruction, orbital and intracranial complications. The authors report a patient presenting with the giant post-traumatic frontal mucopyocele associated with the erosion of the posterior and inferior sinus walls that was clinically manifested as hypo- and exophthalmos and has caused the inferolateral eye deviation and orbital decompression. The patient displayed the ophtalmological symptoms 8 years after the frontal sinus fracture. Read More

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http://dx.doi.org/10.17116/otorino20188306155DOI Listing
January 2018

Comparisons among four types of absorbable plates used for internal fixation of zygomaticomaxillary complex fractures.

J Craniomaxillofac Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, South Korea. Electronic address:

Importance: Conventional plating systems include titanium plates for the fixation of facial bone fractures. However, titanium plates result in artifacts on computed tomography images and appear unstable on magnetic resonance images. Therefore, absorbable plates have been widely used for the fixation of facial bone fractures of late in Asia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10105182183077
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http://dx.doi.org/10.1016/j.jcms.2019.01.014DOI Listing
January 2019
2 Reads

Prospective analysis of mid-facial fractures in a single-center pediatric-adolescent cohort.

Int J Pediatr Otorhinolaryngol 2019 Jan 22;119:151-160. Epub 2019 Jan 22.

Department of Oral and Plastic Maxillofacial Surgery, Martin Luther University Halle-Wittenberg, Ernst-Grube Str. 40, D-06120, Halle (Saale), Germany. Electronic address:

Background: The complex architecture of the midface renders diagnosing and treating fractures challenging, especially for young patients who present the additional risk of suffering growth and development deficiencies, which is to be avoided at all costs.

Objectives: This study sought to characterize pediatric mid-facial fractures considering the possible complications.

Methods: Between September 2008 and September 2018, data was collected on inpatients aged <18 years, treated for mid-facial fractures at the Halle University Hospital. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S01655876193003
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http://dx.doi.org/10.1016/j.ijporl.2019.01.028DOI Listing
January 2019
3 Reads

Patient Perspective in the Management of Zygomatic Fractures.

Ann Maxillofac Surg 2018 Jul-Dec;8(2):239-246

Department of Orthodontics and Dentofacial Orthopaedics, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India.

Background: A clinical study was undertaken on the management of zygomatic complex fractures using various surgical approaches in the Department of Oral and Maxillofacial surgery during the past 3 years.

Aims: The aim of this study is to evaluate the versatility of various surgical approaches.

Materials And Methods: A total of 15 cases were selected following a clinical and radiological examination of fractures of the zygomatic complex. Read More

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http://www.amsjournal.com/text.asp?2018/8/2/239/248604
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http://dx.doi.org/10.4103/ams.ams_85_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327811PMC
January 2019
2 Reads

Accelerated Return to Play for Professional Rugby Players After Facial Fractures.

J Craniofac Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Orthopaedics, Juntendo University School of Medicine.

Background: Facial fractures may result in a significant time away from competition for professional rugby players. An understanding of the return-to-play times is an integral part of clinical decision making when treating professional athletes. A period of 8 to 12 weeks has been conventionally recommended for returning to collision sports after facial fractures. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005138DOI Listing
January 2019
1 Read

Quality of CT Imaging of Periocular Metallic Foreign Bodies Using Artifact Reduction Software.

Ophthalmic Plast Reconstr Surg 2019 Jan 24. Epub 2019 Jan 24.

Department of Radiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, U.S.A.

Purpose: CT is the standard of care for assessment of ocular and orbital trauma; however, artifacts from metallic foreign bodies can limit the utility of CT. The authors hypothesize that implementation of metal artifact reduction techniques can improve image quality and diagnostic confidence for a diverse group of interpreters.

Methods: A case series of ten subjects with retained periocular metallic foreign bodies imaged with CT were identified retrospectively from a large urban trauma center. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001295DOI Listing
January 2019
1 Read

In Vivo Degradation of Forged-Unsintered Hydroxyapatite and Poly-L-lactide Mesh Used for Orbital Reconstruction.

Authors:
Kun Hwang

J Craniofac Surg 2019 Jan 19. Epub 2019 Jan 19.

Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea.

The aim of this study was to assess compositional changes in a forged-unsintered hydroxyapatite and poly-L-lactide (uHA/PLLA) mesh at 651 days after insertion into human body.A 35-year-old female patient had left tripod fracture, orbital medial wall and floor fracture, and superficial lateral palpebral ligament rupture. On the 9th posttrauma day, the tripod fracture was reduced and fixed with plates, and the orbital wall and floor were reconstructed with a resorbable mesh. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005163DOI Listing
January 2019
1 Read

Degree of Frontal Bone Exposure via Upper Blepharoplasty Incision: Considerations for Frontal Sinus Fracture.

Otolaryngol Head Neck Surg 2019 Jan 22:194599818825456. Epub 2019 Jan 22.

1 Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento, California, USA.

Objective: The upper eyelid blepharoplasty incision affords direct access to the frontal bone for skull base surgery and trauma reconstruction with a well-hidden scar. The goal of this study is to quantify frontal bone exposure that can be achieved with an upper eyelid blepharoplasty incision.

Design: Anatomic study with human cadaver heads. Read More

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http://dx.doi.org/10.1177/0194599818825456DOI Listing
January 2019

[Delayed trigeminocardiac reflex after maxillofacial surgery: case report].

Rev Bras Anestesiol 2019 Jan 18. Epub 2019 Jan 18.

Universidade Federal de Juiz de Fora (UFJF), CET-SBA do Hospital Universitário, Juiz de Fora, MG, Brasil; Hospital Monte Sinai, Juiz de Fora, MG, Brasil. Electronic address:

Background: Trigeminocardiac reflex is a physiological phenomenon that may occur in head and neck surgery, and is usually benign. However, it may present with exaggerated responses with severe morbidity.

Case Report: Male patient, 26 years old, candidate for surgical treatment of zygomatic-orbital complex fracture. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.11.003DOI Listing
January 2019
5 Reads

A Comparison of Endoscopic Reduction for Medial Blowout Fractures Using a Bioresorbable Panel and Silastic Sheet.

J Craniofac Surg 2019 Jan 17. Epub 2019 Jan 17.

Department of Otolaryngology Head-Neck Surgery, Kosin University College of Medicine.

Background: The aim of the study was to compare the effectiveness of endoscopic endonasal reduction using a bioresorbable panel and silastic sheet packed with Merocel for blowout fractures of the medial orbital wall.

Design: Retrospective study.

Methods: The study group consisted of 147 patients who underwent endoscopic endonasal reduction of a blowout fracture of the medial orbital wall between January 2005 and December 2016. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005083DOI Listing
January 2019
5 Reads

Relapsing granulomatosis with polyangiitis provoked by trauma: A case report.

Medicine (Baltimore) 2019 Jan;98(3):e14189

Department of Rheumatology, The Second Affiliated Hospital, Dalian Medical University, Dalian 116023, China.

Rationale: The precise cause of granulomatosis with polyangiitis (GPA) remains unclear. Herein we present a case of refractory GPA occurring after trauma.

Patient Concerns: A 43-year-old man suffered fractures of the left orbital in an accident, and then received surgical repair. Read More

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http://dx.doi.org/10.1097/MD.0000000000014189DOI Listing
January 2019
2 Reads

Navigation-Assisted Isolated Medial Orbital Wall Fracture Reconstruction Using an U-HA/PLLA Sheet via a Transcaruncular Approach.

J Invest Surg 2019 Jan 15:1-9. Epub 2019 Jan 15.

a Department of Oral and Maxillofacial Surgery , Shimane University Faculty of Medicine , Izumo , Shimane , Japan.

Purpose: We investigated the feasibility of isolated medial orbital wall fracture reconstruction using an unsintered hydroxyapatite particles/poly L-lactide (u-HA/PLLA) sheet implant with the assistance of intraoperative navigation via the transcaruncular approach.

Patients And Methods: Ten consecutive patients (5 males and 5 females; mean age, 57.5 years) were included based on the clinical and imaging criteria. Read More

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http://dx.doi.org/10.1080/08941939.2018.1546353DOI Listing
January 2019
1 Read

Atraumatic Delayed Orbital Hematoma Sixteen Years After Orbital Floor Fracture Repair With Porous Polyethylene Implant.

J Craniofac Surg 2019 Jan 10. Epub 2019 Jan 10.

Division of Plastic Surgery, Inova Fairfax Hospital, Fairfax, VA.

Porous alloplastic materials such as titanium mesh and porous polyethylene allow for the ingrowth of fibrovascular tissues into the implant; stabilizing the implant and reducing the risk of extrusion and extrusion-related complications (such as hematoma formation). The literature contains 2 specific reports of delayed atraumatic orbital hematomas occurring 8 months and 3 years after orbital floor reconstruction with porous polyethylene implants. In this study, an atraumatic orbital hematoma occurring 16 years after orbital floor reconstruction with a porous polyethylene implant was presented. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005139DOI Listing
January 2019
1 Read

Clinical Utility of Postoperative Computed Tomography Imaging in Orbital Floor Fracture Management.

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Plastic Surgery, University of California, Irvine.

Background: Surgical repair of orbital floor fractures aims to improve visual function and appearance. Postoperative care often involves computed tomography (CT) imaging in addition to physical examination. It has yet to be investigated whether postoperative CT imaging influences treatment of orbital floor fractures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001777DOI Listing
January 2019
1 Read
1.458 Impact Factor

Through the ages-Aetiological changes in maxillofacial trauma.

Dent Traumatol 2019 Jan 7. Epub 2019 Jan 7.

Department of Oral and Maxillofacial Surgery, University Medical Centre Mainz, Mainz, Germany.

Aims: The number of patients suffering maxillofacial trauma remains constant although the affected patients become older. The aim of this study was to illuminate the patterns of maxillofacial fractures in a University Medical Centre and to analyse potential changes in patient population and treatment methods during a 5-year period.

Materials And Methods: In a retrospective analysis, the records of 573 patients with maxillofacial fractures treated in a level one trauma centre from January 2010 to December 2014 were analysed with regard to gender, age, date and time of hospitalization as well as discharge, aetiology, type of fracture, surgery details, complications and further injuries. Read More

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http://dx.doi.org/10.1111/edt.12462DOI Listing
January 2019
3 Reads

New anthropometric data for preoperative planning in orbital wall fracture treatment: the use of eyelid drooping.

Arch Craniofac Surg 2018 Dec 27;19(4):248-253. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Background: The presence of enophthalmos is an important determinant in the decision of orbital wall fracture surgery. We proposed eyelid drooping as a new anthropometric diagnostic measure and analyzed whether eyelid drooping is associated with enophthalmos.

Methods: This retrospective study was performed from January 2014 to December 2016. Read More

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http://dx.doi.org/10.7181/acfs.2018.02096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6325336PMC
December 2018
1 Read

Quantitative assessment of symmetry recovery in navigation-assisted surgical reduction of zygomaticomaxillary complex fractures.

J Craniomaxillofac Surg 2019 Feb 12;47(2):311-319. Epub 2018 Dec 12.

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Road, Hangzhou, Zhejiang, 310003, China. Electronic address:

Purpose: To evaluate the effects of surgical navigation in zygomaticomaxillary complex (ZMC) fracture reduction. ZMC symmetry was assessed quantitatively.

Materials And Methods: The sample comprised 25 patients who underwent surgical reduction of comminuted ZMC fractures. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10105182183066
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http://dx.doi.org/10.1016/j.jcms.2018.12.003DOI Listing
February 2019
5 Reads

Reconstruction of the orbital wall using superior orbital rim osteotomy in a patient with a superior orbital wall fracture.

Maxillofac Plast Reconstr Surg 2018 Dec 4;40(1):42. Epub 2018 Dec 4.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Science Research Institute, Chonnam National University, 77 Yongbongro, Buk-Gu, Gwangju, 61186 South Korea.

Background: Fractures of the orbital wall are mainly caused by traffic accidents, assaults, and falls and generally occur in men aged between 20 and 40 years. Complications that may occur after an orbital fracture include diplopia and decreased visual acuity due to changes in orbital volume, ocular depression due to changes in orbital floor height, and exophthalmos. If surgery is delayed too long, tissue adhesion will occur, making it difficult to improve ophthalmologic symptoms. Read More

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http://dx.doi.org/10.1186/s40902-018-0181-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277397PMC
December 2018
2 Reads

Coincidence of craniocerebral and craniofacial injuries.

J Craniomaxillofac Surg 2019 Feb 3;47(2):287-292. Epub 2018 Dec 3.

Department of Neurosurgery, St. Barbara Regional Hospital, Sosnowiec, Poland.

Purpose: To determine the incidence of craniocerebral injuries in patients who experienced upper facial or midfacial traumas associated with the disorders of consciousness. To find which types of craniofacial traumas predisposed to craniocerebral injuries. To analyze a relationship between the site of the force application and the type of resultant craniocerebral injury. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.11.024DOI Listing
February 2019
2 Reads

Does vertical incomitance predict the diplopia outcome in orbital fracture patients? A prospective study of 188 patients.

J Craniomaxillofac Surg 2019 Feb 5;47(2):305-310. Epub 2018 Dec 5.

Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Geneva & University Hospitals of Geneva, Geneva, Switzerland. Electronic address:

Objective: To determine the predictive value of vertical incomitance for diplopia outcome in orbital fracture patients.

Patients And Methods: A prospective cohort study composed of patients with orbital fractures was designed. The predictor variable was vertical incomitance, and the primary outcome variable was diplopia. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.11.031DOI Listing
February 2019

New Algorithm for the Management of Orbital Blowout Fracture Based on Prospective Study.

Craniomaxillofac Trauma Reconstr 2018 Dec 1;11(4):285-295. Epub 2018 May 1.

Department of Clinical Science, Intervention and Technology, Division of Ear, Nose and Throat Diseases, Karolinska Institutet, Stockholm, Sweden.

Despite extensive debate and publications in the management of blowout fracture (BOF), there are still considerable differences in the surgeons' management of BOF due to a lack of reliable evidence-based studies. This article aimed to evaluate which BOF patients require surgical treatment due to functional and/or cosmetic deformities; evaluate which computed tomography (CT) scan findings predict these problems; and provide an algorithm in the management of BOF. Seventy-nine patients with BOF were treated conservatively and followed up prospectively regarding functional and cosmetic deformities for at least 1 year. Read More

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http://dx.doi.org/10.1055/s-0038-1641714DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224287PMC
December 2018
1 Read

Ocular motility alterations in orbital fractures: pre-post evaluation in maxillofacial surgical treatment.

G Chir 2018 Nov-Dec;39(6):363-367

Purpose: The study aims to investigate the ability of maxillofacial surgery to reduce strabismus and improve ocular clinical symptomatology in patients with fracture of the medial or lateral floor of the orbit, or both, and to evaluate such abilities relative to the temporal distance between trauma and surgery.

Patients And Methods: 25 patients with traumatic diplopia were evaluated by CT, Goldman manual field of view, Hess-Lancaster test, eye examination and orthoptic examination, before and after surgery.

Results: We observed: a statistically significant reduction of the deviation angle, both from close and long distance (P = 0. Read More

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December 2018

Midfacial fractures: A retrospective etiological study over a 10-year period in Western Romanian population.

Niger J Clin Pract 2018 Dec;21(12):1570-1575

Department of Oral and Maxillofacial Surgery, University of Oradea, Oradea, Romania.

Introduction: Midfacial fractures are extremely important oral and maxillofacial problems because they take varied forms and are frequently accompanied by major long-term esthetic or functional complications. Their etiology and epidemiology vary significantly in the literature, and the main causes are varied by population. The aim of this study is to identify the main traumatic etiology of midfacial fractures, along with the main categories of affected patients in our geographical area, in order to establish the need for measures that can prevent fractures in the future. Read More

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http://dx.doi.org/10.4103/njcp.njcp_256_18DOI Listing
December 2018
1 Read

Barotraumatic blowout fracture of the orbit after sneezing: Cone beam CT demonstration.

Clin Ter 2018 Nov-Dec;169(6):e265-e268

Section of Diagnostic Imaging - DIBIMED, University of Palermo, Palermo, Italy.

A 40-year-old man with no history of trauma or previous sinus surgery complained sudden right diplopia after vigorous sneezing. The patient was submitted elsewhere to a MRI study for persisting diplopia, with inconclusive findings. One week later the patient was submitted to a maxillofacial cone beam CT (CBCT) in our Institution. Read More

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http://dx.doi.org/10.7417/CT.2018.2089DOI Listing
January 2019

National Study of Ocular Hospitalizations in Medicare Beneficiaries.

Am J Ophthalmol 2018 Dec 13. Epub 2018 Dec 13.

Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA; Center for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Illinois USA; Veterans Affairs Health Services Research and Development Service, Chicago, Illinois USA. Electronic address:

Purpose: To study the characteristics of Medicare Beneficiaries hospitalized for ophthalmic conditions DESIGN: Cross-sectional study METHODS: The 2015 National Medicare 100% Inpatient Limited Dataset was analyzed to identify all patients with either an admitting or primary diagnoses for an ophthalmic condition using ICD-9-CM codes. All other hospitalized Medicare patients served for comparison. Comorbidities were calculated using the Elixhauser Comorbidity Index. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029394183067
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http://dx.doi.org/10.1016/j.ajo.2018.12.003DOI Listing
December 2018
8 Reads

A Rare Cause for Recurrent Implant-Related Inflammation of Orbit: Dacryocystitis.

J Craniofac Surg 2018 Dec 13. Epub 2018 Dec 13.

Plastic, Reconstructive, and Aesthetic Surgery Department of Mersin University Medical Faculty, Mersin, Turkey.

Ultra-thin porous polyethylene has been widely preferred in orbital blow out fracture repair for many years as a safe and stable material. Delayed complications related to the implant in orbital blow out fracture repair are very rare and usually begin as a periorbital inflammation. Infections and tissue reaction to the foreign body are regarded as main causes for implant-related inflammation of which symptoms may vary among the patients and may involve subacute and chronic eyelid swelling, skin redness, pain, conjunctival injection, proptosis, and acute orbital inflammation. Read More

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http://dx.doi.org/10.1097/SCS.0000000000005059DOI Listing
December 2018
5 Reads

[Application of image navigation assisted nasal endoscopic surgery in optic nerve decompression].

Authors:
L L Shi H T Zhen

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Dec;32(24):1893-1896

Department of Otolaryngology Head and Neck Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

To explore the application and to evaluate the advantage of image navigation assisted nasal endoscopic surgery in optic nerve decompression. Sixty patients accepted the image navigation assisted nasal endoscopic surgery therapy in optic nerve decompression were included in this retrospective study and followed up for about six months to four years. The visual acuity was improved in 16 cases with visual acuity above light. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2018.24.011DOI Listing
December 2018
5 Reads

Epidemiology of facial fractures among older adults: A retrospective analysis of a nationwide emergency department database.

Dent Traumatol 2018 Dec 8. Epub 2018 Dec 8.

Department of Orthodontics, The University of Illinois in Chicago, Chicago, Illinois.

Background/aims: The prevalence of facial fractures among older adults has increased in recent years, and nationwide studies about the epidemiological profile and outcomes of hospital-based ED visits for facial fractures among older adults are scarce. The aim of this study was to provide USA-wide data of hospital-based Emergency Department (ED) visits for facial fractures among older adults, and to investigate the outcomes associated with these visits.

Material And Methods: The Nationwide Emergency Department Sample (NEDS) for the years 2008-2014 was used for the present study. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/edt.12459
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http://dx.doi.org/10.1111/edt.12459DOI Listing
December 2018
9 Reads

Associated Injuries Are Frequent and Severe Among Geriatric Patients With Zygomatico-Orbital Fractures.

J Oral Maxillofac Surg 2018 Nov 5. Epub 2018 Nov 5.

Professor, Department of Oral and Maxillofacial Diseases, Institute of Dentistry, University of Turku and Turku University Hospital, Turku, Finland.

Purpose: Associated injuries (AIs) are hypothesized to be frequent in geriatric zygomatico-orbital (ZMO) fractures. The study aim was to determine the relation between ZMO fractures and AIs in geriatric patients compared with younger adult patients.

Patients And Methods: A retrospective case-and-control study was carried out on geriatric patients at least 65 years of age (n = 93) and younger adult patients 20 to 30 years of age (n = 68) diagnosed with pure unilateral ZMO fractures. Read More

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http://dx.doi.org/10.1016/j.joms.2018.10.020DOI Listing
November 2018
1 Read

Trapdoor orbital floor fracture and inferior rectus entrapment with minimal infraduction deficit and hypertropia.

Can J Ophthalmol 2018 Dec 2;53(6):e252-e254. Epub 2018 Apr 2.

University of Chicago, Chicago, Ill. Electronic address:

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http://dx.doi.org/10.1016/j.jcjo.2018.01.028DOI Listing
December 2018
2 Reads

Functional and Aesthetic Outcome of Extensive Orbital Floor and Medial Wall Fracture via Navigation and Endoscope-assisted Reconstruction.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S77-S85

Background And Purpose: Extensive orbital floor and medial wall fractures compared with isolated orbital wall fractures are more likely to require surgical correction because of a higher possibility of complications like diplopia, enophthalmos, or numbness. The unique and complex contours of the orbital anatomy limit the intraoperative view of the intraorbital anatomy, and complex orbital fractures involving the buttress of the transition zone area all make orbital reconstruction surgery more challenging. The aim of this study was to describe our experience with surgical approaches using navigation- and endoscope-assisted guidance for extensive orbital floor and medial wall fracture reconstruction. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001700DOI Listing
January 2019

A simple method to estimate the linear length of the orbital floor in complex orbital surgery.

J Craniomaxillofac Surg 2019 Jan 9;47(1):185-189. Epub 2018 Nov 9.

OMFS-IMPATH Research Group Department of Imaging and Pathology, (Chairperson: Professor Dr. C. Politis), Belgium; Department of Oral and Maxillofacial Surgery, Hasselt University, Diepenbeek, Belgium.

Background: The orbital floor (OrF) and infraorbital rim (IOR) repair in cases of complete destruction is challenging mainly due to the fact that the defect length cannot be measured. The aim of the current study is to develop a method of calculating the Orf length by using the gender and the lengths of the medial, superior and lateral orbital walls (OrW) of the same orbit.

Material And Methods: Ninety-seven (59 male and 38 female) European adult dry skulls were classified according to age: 20-39, 40-59 and 60 years and above. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.11.001DOI Listing
January 2019
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The Diagnosis and Management of Facial Bone Fractures.

Emerg Med Clin North Am 2019 Feb;37(1):137-151

Department of Emergency Medicine, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie, Suite 1300, Chicago, IL 60611, USA; Department of Medicine, Northwestern Medicine, Northwestern University Feinber School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA; Department of Orthopaedic Surgery, Northwestern Medicine, Northwestern University Feinberg School of Medicine, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA; Department of Orthopaedic Surgery, 259 East Erie Street, Suite 1300, Chicago, IL 60611, USA. Electronic address:

Appropriate medical care for a patient with a facial fracture can not only optimize aesthetic outcomes but also prevent the potential morbidity and mortality of delayed treatment. In this article, we focus on the clinical presentations, physical examination findings, diagnostic imaging, consultations, and follow-up that patients with facial fractures need related to their emergency department management. Specifically, we address the nuances of evaluating frontal, orbital, nasal, maxillofacial, and mandibular fractures. Read More

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http://dx.doi.org/10.1016/j.emc.2018.09.012DOI Listing
February 2019
13 Reads

Finite element analysis of the human orbit. Behavior of titanium mesh for orbital floor reconstruction in case of trauma recurrence.

J Stomatol Oral Maxillofac Surg 2018 Nov 16. Epub 2018 Nov 16.

Aix Marseille université, IFSTTAR, LBA, 13015 Marseille, France. Electronic address:

Introduction: The authors' main purpose was to simulate the behavior of a titanium mesh implant (TMI) used to reconstruct the orbital floor under the stress of a blunt trauma.

Materials And Methods: The orbital floor of a previously validated finite element model (FEM) of the human orbit was numerically fractured and reconstructed by a simplified TMI. Data from a CT scan of the head were computed with MICMICS (Materialise, Louvain, Belgium) software to re-create the skull's geometry. Read More

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http://dx.doi.org/10.1016/j.jormas.2018.11.003DOI Listing
November 2018
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Absorbable Implant Foreign Body Reaction Masquerading as Orbital Cellulitis.

Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):e1-e2

Department of Ophthalmology and Visual Sciences, University of Michigan Medical School, Ann Arbor, Michigan, U.S.A.

Poly-DL-lactide polymer implants absorb over a period of 6 to 12 months and have been used with increasing frequency for repair of orbital fractures. The authors describe the case of a 7-year-old boy who presented with orbital inflammation 10 months following repair of a white-eyed blowout fracture with a poly-DL-lactide implant. Rapid improvement in symptoms followed initiation of oral steroids, with excellent long-term result. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001267DOI Listing
November 2018
13 Reads
0.914 Impact Factor

About a pediatric facial trauma.

J Stomatol Oral Maxillofac Surg 2018 Nov 12. Epub 2018 Nov 12.

Department of maxillofacial and plastic surgery, Tours university hospital, 37170 Tours, France.

Less-lethal weapon are more and more used in law enforcement to neutralize combative individuals and to disperse riot crowds. Even if this type of weapon has been created to be less damaging than classical firearms, it has been incriminated many times in cases of facial injuries with functional consequences, even death. In many countries, these guns can be possessed by average citizens. Read More

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http://dx.doi.org/10.1016/j.jormas.2018.11.001DOI Listing
November 2018
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3-Dimensional Volumetric Analysis of Relationship Between the Orbital Volume Ratio and Enophthalmos in Unoperated Blowout Fractures.

J Oral Maxillofac Surg 2018 Oct 11. Epub 2018 Oct 11.

Professor, Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Chonbuk National University College of Medicine, Jeonju, Republic of Korea; and Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.

Purpose: Blowout fractures are common in midfacial trauma and often involve other parts of facial bones. Sometimes, patients have complications caused by inadequate management. Surgical indications, such as clinical symptoms, can be inaccurate owing to post-traumatic swelling or hematoma formation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02782391183111
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http://dx.doi.org/10.1016/j.joms.2018.09.040DOI Listing
October 2018
9 Reads

Guidewire fracture during orbital atherectomy for peripheral artery disease: Insights from the Manufacturer and User Facility Device Experience database.

Catheter Cardiovasc Interv 2019 Feb 1;93(2):330-334. Epub 2018 Nov 1.

Department of Cardiovascular Diseases, University of Kansas Medical Center, Kansas City, Kansas.

Background/objectives: Orbital atherectomy (OA) is routinely being used for plaque modification to facilitate percutaneous revascularization in patients with peripheral arterial disease (PAD) and arterial calcification. Guidewire fracture (GWF) during OA, though anecdotally described, has not been studied in a systematic manner. We conducted a review of the Manufacturer and User Facility Device Experience (MAUDE) database to study the reports of wire fracture and its management and consequences. Read More

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http://doi.wiley.com/10.1002/ccd.27933
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http://dx.doi.org/10.1002/ccd.27933DOI Listing
February 2019
4 Reads

Orbital fractures in children: clinical features and management outcomes.

J AAPOS 2018 Dec 23;22(6):415.e1-415.e7. Epub 2018 Oct 23.

Department of Orbit, Oculoplasty, Reconstructive and Aesthetics, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India. Electronic address:

Purpose: To report the clinical characteristics and management outcomes of orbital fractures in children.

Methods: The medical records of pediatric patients (<18 years of age) who presented with orbital fractures over a 15-year period (January 2001-December 2015) were reviewed retrospectively. The cause of injury, imaging findings, clinical features, management, and outcomes were noted. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10918531183054
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http://dx.doi.org/10.1016/j.jaapos.2018.07.353DOI Listing
December 2018
8 Reads

Correction of Recalcitrant Cicatricial Lower Lid Retraction and Entropion With Transverse Tarsotomy and Tarsoconjunctival Flap.

Authors:
Raymond I Cho

Ophthalmic Plast Reconstr Surg 2019 Jan/Feb;35(1):91-94

Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.

Purpose: To describe a novel technique to correct cicatricial lower lid entropion and retraction using a transverse lower lid tarsotomy with an interposed tarsoconjunctival flap posterior lamellar spacer.

Methods: Technique description and retrospective interventional case series.

Results: Four patients underwent the procedure-two with complications following treatment of sinonasal carcinoma and two with complications following orbital fracture repair. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001263DOI Listing
October 2018
6 Reads

Do Infield Softball Masks Effectively Reduce Facial Fracture Risk?

Ann Biomed Eng 2019 Feb 25;47(2):453-463. Epub 2018 Oct 25.

Virginia Polytechnic Institute and State University, Blacksburg, VA, USA.

Infield softball masks are intended to reduce facial fracture risk, but are rarely worn. The objective of this study was to evaluate the effectiveness of infield masks' ability to attenuate facial fracture risk over a range of designs and materials. To simulate batted ball impacts, a customized pitching machine was used to propel softballs at 24. Read More

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http://link.springer.com/10.1007/s10439-018-02144-6
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http://dx.doi.org/10.1007/s10439-018-02144-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342899PMC
February 2019
9 Reads

[Short- and long-term results of orbital floor fractures treatment].

Stomatologiia (Mosk) 2018 ;97(5):54-58

Privolzhsky Research Medical University, Nizhniy Novgorod, Russia.

The objective of this research was to study complications of orbital floor reconstruction by making analysis of early and late follow up treatment results of patients with orbital floor fractures. We summerized the experience in surgery of 215 victims with zygomatico-orbital complex fractures, who underwent treatment in teaching hospitals of the oral and maxillo-facial surgery department of Privolzhsky Research Medical University from 2011 to 2017. The orbital wall fractures which required reconstruction and restorative treatment were diagnosed in 78 (36. Read More

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http://dx.doi.org/10.17116/stomat20189705154DOI Listing
January 2018
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Re: Young et al.: Conservatively treated orbital blowout fractures: spontaneous radiologic improvement (Ophthalmology. 2018;125:938-944).

Ophthalmology 2018 Dec 19;125(12):e86-e87. Epub 2018 Oct 19.

Department of Ophthalmology, The Alfred, Melbourne, Australia.

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http://dx.doi.org/10.1016/j.ophtha.2018.06.028DOI Listing
December 2018
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