5,345 results match your criteria Fracture Orbital


Orbital floor fracture due to recreational cliff diving - A rare presentation.

Indian J Ophthalmol 2020 Jun;68(6):1179-1180

Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

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http://dx.doi.org/10.4103/ijo.IJO_1487_19DOI Listing

Quantifying Eye Alignment in Orbital Fracture Patients: The Digital Hess Screen.

Facial Plast Surg Aesthet Med 2020 May 22. Epub 2020 May 22.

Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, USA.

Quantifying diplopia to determine management and track outcomes for orbital fracture patients is vital for standardization between visits, physicians, and coordination among the multiple specialties that manage these patients. However, standardization is challenging, as diplopia is often reported subjectively. This study sought to describe the utility of the digital Hess screen in patients with orbital fractures compared with a control group. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0080DOI Listing

Three-Dimensional Analysis of Isolated Orbital Floor Fractures Pre- and Post-Reconstruction with Standard Titanium Meshes and "Hybrid" Patient-Specific Implants.

J Clin Med 2020 May 22;9(5). Epub 2020 May 22.

Department of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, CH-4031 Basel, Switzerland.

The aim of this study was to compare the efficacy of the intraoperative bending of titanium mesh with the efficacy of pre-contoured "hybrid" patient-specific titanium mesh for the surgical repair of isolated orbital floor fractures. In-house 3D-printed anatomical models were used as bending guides. The main outcome measures were preoperative and postoperative orbital volume and surgery time. Read More

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http://dx.doi.org/10.3390/jcm9051579DOI Listing

Virtual surgical planning and three-dimensional printing for the treatment of comminuted zygomaticomaxillary complex fracture.

J Stomatol Oral Maxillofac Surg 2020 May 18. Epub 2020 May 18.

Departement of Oral and Maxillo Facial Surgery, Plastic and Reconstructive Surgery, Estaing Hopital, CHU de Clermont Ferrand, Université Clermont Auvergne, 1, place Lucie-Aubrac, 63000 Clermont-Ferrand, France; UMR Inserm/UdA, Neuro-Dol, Trigeminal Pain and Migraine, BP 10448, 63000 Clermont-Ferrand, France. Electronic address:

Objective: the objective of the study is to evaluate the interest of advanced computer technology, including virtual surgical planning, three-dimensional modeling and pre-bended titanium plate and mesh in the treatment of comminuted zygomaticomaxillary complex fractures.

Material And Methods: A total of 19 patients were included. In the study group (n=6) surgery was combined with preoperative planning including mirroring and bending of the titanium plates and mesh on a 3D model. Read More

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http://dx.doi.org/10.1016/j.jormas.2020.05.009DOI Listing

Imaging of Nontraumatic Orbital and Neuro-ophthalmological Emergencies.

Semin Roentgenol 2020 Apr 16;55(2):132-149. Epub 2019 Nov 16.

Department of Radiology, Seattle Children's Hospital and University of Washington, Seattle, WA. Electronic address:

Emergency department (ED) visits for eye and vision-related concerns are common. In most cases, accurate diagnosis is made using clinical history and physical exam findings without the need for emergent imaging. When orbital imaging is performed in the ED, it is often in patients with orbital trauma where CT is used to assess for orbital fractures and associated injuries. Read More

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http://dx.doi.org/10.1053/j.ro.2019.11.004DOI Listing

Orbital Floor Implant Causing Loss of Parasympathetic Lacrimal Gland Innervation.

Ophthalmic Plast Reconstr Surg 2020 May 19. Epub 2020 May 19.

Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center and The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute, Columbus, Ohio, U.S.A.

Many postoperative complications are known to occur as a result of orbital floor fracture repair, but loss of lacrimal gland function has not been reported. The authors present a patient who lost reflex tearing after undergoing orbital floor fracture repair by an outside surgeon. CT scan showed placement of the posterolateral edge of the implant through the inferior orbital fissure, which presumably transected the parasympathetic fibers innervating the lacrimal gland. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001704DOI Listing

Utilizing 3D-Printed Orbital Floor Stamps to Create Patient-Specific Implants for Orbital Floor Reconstruction.

Ophthalmic Plast Reconstr Surg 2020 May 19. Epub 2020 May 19.

Department of Plastic and Reconstructive Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, U.S.A.

Purpose: This study seeks to test a novel technique of custom-printed midface contour models with orbital floor "stamps" to guide reconstruction of orbital floor blowout fractures, with or without concomitant zygomaticomaxillary complex injury.

Methods: A series of 4 consecutive patients with orbital floor blowout fractures (including 3 with zygomatic maxillary complex fractures) were retrospectively examined for outcomes associated with orbital floor reconstruction using 3-dimensional-printed stamps and midface models. Data collected included demographics, pre- and postoperative visual globe malposition, motility, and visual field disturbances. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001734DOI Listing

Reconstruction of Complex Cranial and Orbit Fractures with Associated Hemorrhages: Case Report and Review of the Literature.

Cureus 2020 Apr 16;12(4):e7694. Epub 2020 Apr 16.

Neurological Surgery, The University of Toledo Medical Center, Toledo, USA.

We present our experience following a unique case of coincident intracranial hemorrhage and comminuted fractures of both the squamous temporal bone and zygomaticofrontal orbit. Surgical techniques and outcome for this presentation have yet to be sufficiently described. A 55-year-old male presented following trauma with Glasgow Coma Scale score of 7. Read More

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http://dx.doi.org/10.7759/cureus.7694DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233501PMC

Posttraumatic Respiratory Epithelial Orbital Cyst With Intracranial Extension: A Unique Association.

Ophthalmic Plast Reconstr Surg 2020 May 14. Epub 2020 May 14.

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

Respiratory epithelial orbital cysts (REOC) are rare benign lesions that may be either congenital or acquired. Congenital REOC develop from embryological epithelial rests and are known as choristomas, whereas acquired forms develop from the sequestration of respiratory epithelium from adjacent paranasal sinuses following trauma and/or fracture repair procedures. The final diagnosis can be difficult because congenital and acquired REOC and mucoceles share the same features histologically. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001714DOI Listing

Biocompatibility of polyetheretherketone for the treatment of orbital bone defects.

Int J Ophthalmol 2020 18;13(5):725-730. Epub 2020 May 18.

Department of Ophthalmology, the Fourth People's Hospital of Shenyang, Shenyang 110031, Liaoning Province, China.

Aim: To investigate the biocompatibility and therapeutic effects of polyetheretherketone (PEEK) on recovery of a rabbit orbital defect.

Methods: Totally 16 New Zealand rabbits were used to establish an orbital bone defect model and then randomly divided into two groups. PEEK was implanted in the experimental group. Read More

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http://dx.doi.org/10.18240/ijo.2020.05.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201353PMC

Repair of orbital floor fractures via the transantral approach with osteosynthesis plate.

Oral Maxillofac Surg 2020 May 16. Epub 2020 May 16.

Department of Radiology, Russian Medical Academy of Continuous Professional Education, Moscow, Russia.

Introduction: The most common surgical access techniques employed in patients with orbital floor fractures are associated with a risk of complications, such as implant infection, migration, epiphora, lower eyelid retraction, ectropion, diplopia worsening, retrobulbar hematoma, emphysema, "white-eyed" syndrome, enophthalmia relapse, hypoglobus, and persistent diplopia due to periorbital atrophy. Consequently, alternative access techniques precluding these complications have to be found.

Study Objective: To assess the efficacy of transantral approach in the surgical treatment of patients with orbital floor fractures based on results of retrospective analysis of our clinical experience. Read More

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http://dx.doi.org/10.1007/s10006-020-00850-xDOI Listing

Complications Following Orbital Floor Repair: Impact of Intraoperative Computed Tomography Scan and Implant Material.

Facial Plast Surg Aesthet Med 2020 May 14. Epub 2020 May 14.

San Antonio Military Medical Center, Ft. Sam Houston, Texas, USA.

Orbital floor fracture repair is complex and postoperative complications are common. A variety of applicable surgical techniques and technologies are available to surgeons, so data about which of these may decrease postoperative complication rates can help better guide clinical decision making. : To characterize the patient demographics and surgical techniques utilized in orbital floor fracture repairs at San Antonio Military Medical Center and their relationship with rates of postoperative complications. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0117DOI Listing

[The maxillary sinus via a prelacrimal approach as a gateway to the retromaxillary space and orbital floor].

Authors:
Thomas Kühnel

HNO 2020 May 13. Epub 2020 May 13.

Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.

Endonasal surgery has emerged as the standard procedure for the majority of nasal and paranasal sinus pathologies. However, some pathological changes beyond the maxillary sinus seem to be out of the instrumental range and are addressed by open approaches. The prelacrimal approach to the maxillary sinus published by Zhou and coworkers has stimulated a rapid development of various procedures in this field. Read More

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http://dx.doi.org/10.1007/s00106-020-00867-4DOI Listing

Reconstruction of orbital floor fractures with Polypropylen mesh.

Tunis Med 2020 Jan;98(1):49-54

Aim: Various materials for reconstruction of bone defects in orbital floor fractures have been developed and clinically applied. The aim of this study is to evaluate the contribution of using the Polypropylene mesh as a reconstructive material for orbital floor mean-size defects.

Methods: We retrospectively reviewed the clinical charts of 40 patients who underwent post traumatic orbital floor reconstructive surgery. Read More

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January 2020

Intraoperative imaging in orbital reconstruction: how does it affect the position of the implant?

Br J Oral Maxillofac Surg 2020 May 4. Epub 2020 May 4.

Department of Oral and Maxillofacial Surgery, Orbital Unit, Amsterdam UMC (location AMC), Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam.

Intraoperative imaging enables the surgeon to control the position of the implant during orbital reconstruction. Although it might improve surgical outcome and avoid the need for revision surgery, it may also increase the duration of the operation and the exposure to radiation. The goal of this study was to find out whether intraoperative imaging improves the position of the implant in reconstructions of the orbital floor and medial wall. Read More

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http://dx.doi.org/10.1016/j.bjoms.2020.04.018DOI Listing

Biodegradable implants for orbital wall fracture reconstruction.

Arch Craniofac Surg 2020 Apr 20;21(2):99-105. Epub 2020 Apr 20.

Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University School of Medicine, Seoul, Korea.

Background: Due to the different handling properties of unsintered hydroxyapatite particles/poly-L-lactic acid (uHA/PLLA) and polycaprolactone (PCL), we compared the surgical outcomes and the postoperative implantation accuracy between uHA/PLLA and PCL meshes in orbital fracture repair.
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Methods: Patients undergoing orbital wall reconstruction with PCL and uHA/PLLA mesh, between 2017 and 2019, were investigated retrospectively. Read More

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http://dx.doi.org/10.7181/acfs.2020.00010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7206463PMC

Single-Stage Reconstruction with Titanium Mesh for Compound Comminuted Depressed Skull Fracture.

Authors:
Ki Seong Eom

J Korean Neurosurg Soc 2020 May 8. Epub 2020 May 8.

Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University Hospital, Iksan, Korea.

Objective: Traditionally, staged surgery has been preferred in the treatment of compound comminuted depressed fracture (FCCD) after traumatic brain injury (TBI) and involves the removal of primarily damaged bone and subsequent cranioplasty. The main reason for delayed cranioplasty was to reduce the risk of infection-related complications. Here, the author performed immediate reconstruction using a titanium mesh in consecutive patients with FCCD after TBI, reported the surgical results, and reviewed previous studies. Read More

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http://dx.doi.org/10.3340/jkns.2019.0181DOI Listing

Postoperative Quality of Life in Oculoplastic Patients.

Ophthalmic Plast Reconstr Surg 2020 Apr 30. Epub 2020 Apr 30.

Department of Ophthalmology, National University Hospital, Singapore.

Purpose: To conduct a literature review on postoperative quality of life in oculoplastic patients.

Methods: The authors conducted a database search to evaluate the evidence available for the change in quality of life after oculoplastic surgery.

Results: There was a wide disparity of evidence available for different oculoplastic conditions. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001681DOI Listing

Olfactory and Gustatory Function in Patients With Different Types of Maxillofacial Trauma.

Laryngoscope 2020 Apr 30. Epub 2020 Apr 30.

Rhinology-Olfactology Unit, Department of Otorhinolaryngology-Head and Neck Surgery, Geneva University Hospitals, Geneva, Switzerland.

Objectives/hypothesis: To investigate olfactory and gustatory function in patients with maxillofacial trauma and associated fractures.

Study Design: Retrospective cohort study.

Methods: Olfactory and gustatory function was assessed psychophysically in 124 patients who had sustained maxillofacial trauma with an associated fracture. Read More

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http://dx.doi.org/10.1002/lary.28701DOI Listing

Head and neck injuries after a bomb explosion: Diagnostic findings and treatment approaches.

Am J Otolaryngol 2020 Apr 17:102489. Epub 2020 Apr 17.

Department of Ophthalmology, University of Health Sciences-Somalia Turkey Recep Tayyip Erdogan Education and Research Hospital, Mogadishu, Somalia. Electronic address:

Objective: To identify the types and severity of head, face and neck (HFN) injuries, which occurred as a result of a bomb explosion and reached serious life-threatening levels, using radiological imaging methods, and to discuss the options of treatment at the time of presentation.

Methods: Of the 16 patients brought to the emergency department, 14 with HFN injuries were included in the study. Computed tomography (CT) and radiography scans were performed at the time of presentation in all patients, except for one. Read More

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http://dx.doi.org/10.1016/j.amjoto.2020.102489DOI Listing

Eye trauma in falls presenting to the emergency department from 2006 through 2015.

Br J Ophthalmol 2020 Apr 23. Epub 2020 Apr 23.

Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA

Aims: To characterise the epidemiology of eye trauma in the event of falls presenting to the emergency departments (ED) in the USA.

Method: Retrospective cohort study. Nationwide Emergency Department Sample was used to analyse fall encounters presenting to the ED with eye trauma from 2006 to 2015. Read More

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http://dx.doi.org/10.1136/bjophthalmol-2019-314669DOI Listing
April 2020
2.976 Impact Factor

Facial Fractures and the National Basketball Association: Epidemiology and Outcomes.

Laryngoscope 2020 Apr 20. Epub 2020 Apr 20.

Department of Surgery, Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, Connecticut, U.S.A.

Objectives/hypothesis: To identify the epidemiology and impact of facial fractures on player performance and return to play (RTP) in the National Basketball Association (NBA).

Study Design: Retrospective case-control series METHODS: Fifty-three NBA players who sustained facial fractures between 1984 and 2018 were identified. Players with pre- and postinjury statistics were included in the performance analysis. Read More

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http://dx.doi.org/10.1002/lary.28690DOI Listing

Delayed Orbital Apex Syndrome in the Post-Reconstructed Orbit.

J Craniofac Surg 2020 Apr 16. Epub 2020 Apr 16.

Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine.

Delayed orbital apex syndrome (OAS) is rare during orbital blowout fracture reconstruction. A 30-year-old woman fractured the right orbital floor in a fall and undergone repairing operation 2 weeks later. After severe sneezing on postoperative day 10, she gradually arose vision loss, ophthalmoplegia, ptosis with a dilated and fixed pupil within few hours, then consulted our department and was diagnosed as OAS. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006490DOI Listing

Zygomatico-Orbital Fracture-Dislocation in Surgical Treatment: Novel 3-Dimensional Software Automated Analysis.

J Oral Maxillofac Surg 2020 Mar 24. Epub 2020 Mar 24.

Resident, Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Purpose: The human capability to detect the degree of zygomatico-orbital (ZMO) fracture-dislocation in surgical treatment is unknown. The aim of this study was to examine the association between ZMO fracture-dislocation and injury etiology and treatment.

Materials And Methods: We implemented a retrospective cross-sectional study, enrolled a sample composed of patients with an isolated unilateral ZMO fracture, and analyzed fracture-dislocation from computed tomography images with an automatic algorithm. Read More

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http://dx.doi.org/10.1016/j.joms.2020.03.016DOI Listing

Management of simultaneous ocular elevation and depression deficit in patients after reconstruction surgery for orbital floor fracture.

Graefes Arch Clin Exp Ophthalmol 2020 Apr 15. Epub 2020 Apr 15.

Department of Binocular Vision Pathophysiology and Strabismus, Medical University of Lodz, University Barlicki Hospital No.1, Kopcinskiego Street 22, 90-153, Lodz, Poland.

Purpose: To present and examine the results of surgical correction of simultaneous ocular elevation and depression deficit in patients who underwent reconstruction surgery for orbital floor fracture.

Methods: A retrospective analysis of medical records of patients who had undergone surgical correction for diplopia associated with orbital fracture which persisted after orbital reconstruction surgery. All patients underwent orthoptic evaluation before surgery and postoperatively with various times of follow-up. Read More

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http://dx.doi.org/10.1007/s00417-020-04659-yDOI Listing

A nonsurgical approach with repeated orthoptic evaluation is justified for most blow-out fractures.

J Craniomaxillofac Surg 2020 Mar 30. Epub 2020 Mar 30.

Department of Oral and Maxillofacial Surgery, Orbital Unit, Amsterdam UMC (location AMC), Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, the Netherlands.

Objective: This study presents the results of an updated clinical protocol for orbital blow-out fractures, with a special emphasis on nonsurgical treatment and orthoptic evaluation of functional improvement.

Methods: A two-centre multidisciplinary prospective cohort study was designed to monitor the results of a clinical protocol by assessing ductions, diplopia, globe position, and fracture size. Patients underwent clinical assessment and orthoptic evaluation at first presentation and then at 2 weeks and 3/6/12 months after nonsurgical or surgical treatment. Read More

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http://dx.doi.org/10.1016/j.jcms.2020.03.005DOI Listing

Reliability of orbital volume measurements based on computed tomography segmentation: Validation of different algorithms in orbital trauma patients.

J Craniomaxillofac Surg 2020 Mar 29. Epub 2020 Mar 29.

Department of Stomatology, Bogomolets National Medical University, T. Shevchenko Blvd., 13, 01601, Kyiv, Ukraine.

Purpose: To compare the most common methods of segmentation for evaluation of the bony orbit in orbital trauma patients.

Materials And Methods: Computed tomography scans (before and after treatment) from 15 patients with unilateral blowout fractures and who underwent orbital reconstructions were randomly selected for this study. Orbital volume measurements, volume difference measurements, prolapsed soft tissue volumes, and bony defect areas were made using manual, semi-automated, and automated segmentation methods. Read More

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http://dx.doi.org/10.1016/j.jcms.2020.03.007DOI Listing

An Epidemiological Analysis and Comparison of Single Site and Multiple Site Fracture Repair.

J Craniofac Surg 2020 Apr 10. Epub 2020 Apr 10.

Department of Surgery, Division of Otolaryngology, Yale School of Medicine, New Haven, CT.

We aimed to utilize the 2010 to 2017 National Surgical Quality Improvement Program to evaluate the epidemiology and efficacy of facial fracture repairs, specifically comparing multiple fracture site repairs (MFR) compared to single fracture site repairs (SFR). Of 4739 patients, 718 (15.2%) were found to have undergone MFR. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006425DOI Listing

Orbital Trapdoor Facture in Child: More Predictable Outcomes and Less Consequences.

J Craniofac Surg 2020 Apr 10. Epub 2020 Apr 10.

Oral and Maxillofacial Surgery, Department of Diagnostic and Surgery, Araraquara School of Dentistry, Sao Paulo State University (UNESP), Araraquara.

Orbital trapdoor fractures are characterized by tissue entrapment between the fractured bone fragment and the remnant of the orbital floor. This entrapment can result in immediate local and systemic complications and poor outcomes when approached late. This article presents the case of an orbital floor fracture in a child with dystopia, pain, edema and entrapment of the inferior rectus muscle and consequent limitation of ocular motility. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006438DOI Listing

Analysis of Prognostic Factors for the Indirect Traumatic Optic Neuropathy Underwent Endoscopic Transnasal Optic Canal Decompression.

J Craniofac Surg 2020 Apr 7. Epub 2020 Apr 7.

Department of Neurosurgery, The Second Affiliated Hospital, Zhejiang University School of Medicine.

Objective: This study aimed to investigate the clinical outcomes of endoscopic transnasal optic canal decompression (ETOCD) for patients with indirect traumatic optic neuropathy (TON) and identify the relevant prognostic factors.

Methods: Seventy-two indirect TON patients who underwent ETOCD surgery from August 2017 to May 2019 were analyzed retrospectively. The paired t-test was used to compare the visual acuity (VA) before and after ETOCD, and multiple linear regression analysis was used to distinguish the potential prognostic factors. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006443DOI Listing
April 2020
0.676 Impact Factor

Traumatic Brain Injury in Trauma Patients With Isolated Facial Fractures.

J Craniofac Surg 2020 Apr 7. Epub 2020 Apr 7.

Center for Surgery and Public Health.

Background: Diagnosis of traumatic brain injury (TBI), and specifically mild TBI (mTBI), is a diagnostic challenge which can delay diagnosis preventing early intervention and follow-up care. Facial fractures represent an objective surrogate marker for potential force transmission to the neural cavity. The authors' objective was to characterize the prevalence of TBI in trauma patients with isolated facial fractures stratified by injury severity. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006379DOI Listing

Outcomes Following Orbital Floor Fractures in the Elderly.

J Craniofac Surg 2020 Apr 7. Epub 2020 Apr 7.

Department of Surgery, Division of Plastic Surgery, University of Rochester Medical Center, Rochester, NY.

Background: Orbital floor fractures in the elderly are controversial, with varying guidelines on indications for operative and nonoperative management. Morbidity includes changes to ocular position, inferior rectus muscle injury, and damage to the neurovascular bundle as it traverses the orbital floor. Across all facial fractures, the elderly are less frequently operated on, albeit longer hospital stays and more probably ICU admission. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006376DOI Listing

Treatment of Facial Fractures at a Level 1 Trauma Center: Do Medicaid and Non-Medicaid Enrollees Receive the Same Care?

J Surg Res 2020 Apr 9;252:183-191. Epub 2020 Apr 9.

Department of Surgery, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address:

Background: Timing of surgical treatment of facial fractures may vary with the patient age, injury type, and presence of polytrauma. Previous studies using national data sets have suggested that trauma patients with government insurance experience fewer operations, longer length of hospital stay (LOS), and worse outcomes compared with privately insured patients. The objective of this study is to compare treatment of facial fractures in patients with and without Medicaid insurance (excluding Medicare). Read More

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http://dx.doi.org/10.1016/j.jss.2020.03.008DOI Listing

Efficacy of Altered Two-Point Fixation in Zygomaticomaxillary Complex Fracture.

Biomed Res Int 2020 18;2020:8537345. Epub 2020 Mar 18.

Department of Plastic & Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Purpose: To reconstruct a zygomaticomaxillary complex (ZMC) fracture, zygomaticofrontal (ZF) suture is the most reliable site to assess anatomical alignment and to secure rigidity. It has been chosen primary site to be fixed, but approach through the lateral eyebrow incision may leave a visible scar. This study suggests altered two-point fixation of ZMC fracture without accessing the ZF suture. Read More

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http://dx.doi.org/10.1155/2020/8537345DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103990PMC

Nasal Bone Fractures: Analysis of 1193 Cases with an Emphasis on Coincident Adjacent Fractures.

Facial Plast Surg Aesthet Med 2020 Apr 6. Epub 2020 Apr 6.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland.

The nasal bone is one of the most commonly fractured bones of the midface. However, the frequency of coincident fractures of adjacent bones such as the frontal process of the maxillary bone, nasal septum, and medial or inferior orbital walls has not been fully evaluated. The purpose of this study was to investigate the incidence of fractures of adjacent structures in the setting of a nasal bone fracture. Read More

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http://dx.doi.org/10.1089/fpsam.2020.0026DOI Listing

Assessment of Panfacial Fractures in the Pediatric Population.

J Oral Maxillofac Surg 2020 Mar 8. Epub 2020 Mar 8.

Professor of Plastic Surgery, Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ.

Purpose: Management of panfacial fractures is critical and often difficult in adults; however, there is little to no literature regarding these fractures in the pediatric population. In this study, we present our experience to provide insight and further investigation regarding prevention and management strategies within the pediatric population.

Patients And Methods: We performed a retrospective chart review of all panfacial fractures in the pediatric population between 2002 and 2014 treated at an urban, level 1 trauma center (University Hospital, Newark, NJ). Read More

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http://dx.doi.org/10.1016/j.joms.2020.03.001DOI Listing

Traumatic prolapse of the globe into the anterior cranial fossa: a case report.

BMC Ophthalmol 2020 Apr 3;20(1):128. Epub 2020 Apr 3.

Department of Ophthalmology, Southwest Hospital, Third Military Medical University, Chongqing, China.

Background: Orbital fracture associated with traumatic intracranial prolapse of the eyeball is rare. In all previously reported cases, vision was severely impaired with no light perception. Herein, we report a case of traumatic prolapse of the globe into the anterior cranial fossa, in which the patient's vision was preserved by early repositioning. Read More

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http://dx.doi.org/10.1186/s12886-020-01403-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7119161PMC

Expert Consensus on Navigation-guided Unilateral Orbital Fracture and Orbital Floor Reconstruction Techniques.

Chin J Dent Res 2020 ;23(1):51-55

Orbital fracture and orbital floor reconstruction surgery is characterised by limited surgical exposure and high risks. Before the advent of digital technology, the design and implementation of the surgical scheme for orbital floor reconstruction surgery mainly depended on the intuitive understanding of imaging and the clinical experience of surgeons, with strong unpredictability and experience dependence. Surgical navigation systems with real-time positioning and imaging functions, when used in orbital reconstruction surgery, can detect the real-time intraoperative position, avoid risks, and assist in locating the reconstruction position to ensure the accuracy of orbital reconstruction, with the help of a preoperative surgical plan. Read More

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http://dx.doi.org/10.3290/j.cjdr.a44336DOI Listing

Does Early Repair of Orbital Fractures Result in Superior Patient Outcomes? A Systematic Review and Meta-Analysis.

J Oral Maxillofac Surg 2020 Apr;78(4):e15-e16

Professor and Chief, Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL. Electronic address:

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http://dx.doi.org/10.1016/j.joms.2019.12.016DOI Listing

Commentary - Does Early Repair of Orbital Fractures Result in Superior Patient Outcomes? A Systematic Review and Meta-Analysis.

J Oral Maxillofac Surg 2020 Apr;78(4):e11-e14

Assistant Professor, Chief, and Residency Program Director, Division of Oral and Maxillofacial Surgery, Medical College of Wisconsin, Milwaukee, WI. Electronic address:

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http://dx.doi.org/10.1016/j.joms.2019.12.013DOI Listing

Involvement of orbit in maxillofacial fractures: "Evaluation of its spectrum, characteristics, and treatment in 200 patients"-Prospective study.

J Cosmet Dermatol 2020 Mar 30. Epub 2020 Mar 30.

Department of Plastic and Reconstructive Surgery, The First Hospital of Jilin University, Changchun, China.

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. Read More

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http://dx.doi.org/10.1111/jocd.13385DOI Listing
March 2020
1.000 Impact Factor

Eye-Related Emergency Department Visits and The Opioid Epidemic: a 10-Year Analysis.

Ophthalmic Epidemiol 2020 Mar 29:1-10. Epub 2020 Mar 29.

Department of Ophthalmology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

: To describe the epidemiology of Emergency Department (ED) visits related to opioid abuse with primary ophthalmic diagnoses in the United States (US).: This retrospective cross-sectional study used National ED Sample (NEDS) (2006-2015), a representative sample of all US EDs, to analyze and compare the epidemiology of primary ophthalmic diagnoses in opioid abusers and a control group of non-opioid users. National incidence and descriptive statistics were calculated for demographics and prevalent diagnoses. Read More

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http://dx.doi.org/10.1080/09286586.2020.1744165DOI Listing
March 2020
1.271 Impact Factor

Pediatric Frontal Bone and Sinus Fractures: Cause, Characteristics, and a Treatment Algorithm.

Plast Reconstr Surg 2020 Apr;145(4):1012-1023

Baltimore, Md.; and Chicago, Ill. From the Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital; the Rush Medical College of Rush University; and the R Adams Cowley Shock Trauma Center, University of Maryland Medical Center.

Background: The purpose of this study was to assess the incidence, cause, characteristics, presentation, and management of pediatric frontal bone fractures.

Methods: A retrospective cohort review was performed on all patients younger than 15 years with frontal fractures that presented to a single institution from 1998 to 2010. Charts and computed tomographic images were reviewed, and frontal bone fractures were classified into three types based on anatomical fracture characteristics. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006645DOI Listing

Radiological findings of orbital blowout fractures: a review.

Orbit 2020 Mar 26:1-12. Epub 2020 Mar 26.

Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Aichi, Japan.

: To summarize the radiological findings in patients with orbital blowout fractures.: We reviewed the published literature on radiological findings of orbital blowout fractures that were searched on PubMed and included our own radiologic findings on patients with orbital blowout fractures that were seen at our hospital.: Radiologic examination reveals a variety of findings in each case. Read More

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http://dx.doi.org/10.1080/01676830.2020.1744670DOI Listing

Single-Step Resection of Sphenoorbital Meningiomas and Orbital Reconstruction Using Customized CAD/CAM Implants.

J Neurol Surg B Skull Base 2020 Apr 1;81(2):142-148. Epub 2019 Mar 1.

Center for Neurosurgery, University Hospital of Cologne, Cologne, Germany.

 Computer-aided design and manufacturing (CAD/CAM) implants are fabricated based on volumetric analysis of computed tomography (CT) scans and are routinely used for the reconstruction of orbital fractures. We present three cases of patients with sphenoorbital meningiomas that underwent tumor resection, orbital decompression, and orbital reconstruction with patient specific porous titanium or acrylic implants in a single procedure.  The extent of bone resection of the sphenoorbital meningiomas was planned in a virtual three-dimensional (3D) environment using preoperative thin-layer CT data. Read More

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http://dx.doi.org/10.1055/s-0039-1681044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082166PMC

Facial fractures: classification and highlights for a useful report.

Insights Imaging 2020 Mar 19;11(1):49. Epub 2020 Mar 19.

Radiology Department, Hospital Josep Trueta, Avda França SN, 17001, Girona, Spain.

In patients with facial trauma, multidetector computed tomography is the first-choice imaging test because it can detect and characterize even small fractures and their associated complications quickly and accurately. It has helped clinical management and surgical planning, so radiologists must communicate their findings to surgeons effectively. In Le Fort fractures, there is a breach between the pterygoid plates and the posterior maxilla. Read More

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http://dx.doi.org/10.1186/s13244-020-00847-wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7082488PMC

Unilateral Orbital Emphysema Secondary to Vitreoretinal Surgery.

Ophthalmol Retina 2020 Jan 13. Epub 2020 Jan 13.

Hospital "Dr. Luis Sánchez Bulnes," Asociación Para Evitar la Ceguera en México I.A.P., Mexico City, Mexico; Retina Department, Hospital "Dr. Luis Sánchez Bulnes," Asociación Para Evitar la Ceguera en México I.A.P, Mexico City, Mexico.

Purpose: To describe preoperative, intraoperative, and postoperative characteristics, imaging findings, and clinical evolution of patients who developed orbital emphysema after vitreoretinal surgery.

Design: Retrospective, descriptive, observational case series.

Participants: Patients with orbital emphysema after vitreoretinal surgery who were diagnosed and treated between January 2006 and October 2018 at a single ophthalmology referral center. Read More

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http://dx.doi.org/10.1016/j.oret.2020.01.008DOI Listing
January 2020

Radiographic Predictors of FACE-Q Outcomes Following Non-Operative Orbital Floor Fracture Management.

J Craniofac Surg 2020 Mar 13. Epub 2020 Mar 13.

Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale University School of Medicine.

Background: Orbital floor fractures are common injuries treated by multiple surgical subspecialties. Controversy exists regarding the operative indications. This study sought to correlate radiographic characteristics of orbital floor fractures with validated patient reported outcome measures following non-operative management. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006356DOI Listing

Orbital Apex Syndrome Causing Blindness Secondary to a Vertical Root Fracture of a Tooth.

J Craniofac Surg 2020 Mar 13. Epub 2020 Mar 13.

Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University.

The authors report a case of a 35-year-old man who presented with left maxillary toothache associated with left sided facial pain and a rapidly progressive loss of vision in the left eye. Clinical and radiological assessments revealed it to be an odontogenic orbital apex syndrome secondary to a vertical root fracture of a tooth. The infection was treated and controlled, postoperative follow-up showed no recurrent inflammation and the patient recovered well. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006316DOI Listing
March 2020
0.676 Impact Factor

Differences in Facial Fracture Patterns in Pediatric Nonaccidental Trauma.

J Craniofac Surg 2020 Mar 13. Epub 2020 Mar 13.

Division of Plastic and Reconstructive Surgery.

Background: The purpose of this study was to characterize differences in facial fracture injury patterns among pediatric patients at highest risk of abusive head trauma/nonaccidental trauma (age ≤ 5 years).

Methods: Using the National Trauma Databank from 2007 to 2015, patients (age ≤ 5 years) suffering facial fractures were included. Demographics and injury characteristics were compared between those sustaining accidental versus nonaccidental trauma (NAT). Read More

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http://dx.doi.org/10.1097/SCS.0000000000006294DOI Listing