1,980 results match your criteria Imaging in Orbital Fractures

Radiographic volumetric risk factors for late enophthalmos prediction in orbital blow-out fractures: A retrospective study.

J Craniomaxillofac Surg 2022 Jun 2;50(6):478-484. Epub 2022 Jun 2.

Univ. Lille, CHU Lille, INSERM, Service de Chirurgie Maxillo-Faciale et Stomatologie, U1008; Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France. Electronic address:

The aim of this study was to assess the correlation between volumetric risk factors, orbital volume (OV), orbital volume ratio (OVR), herniated volume (HV), and the newly described herniated volume ratio (HVR), with the occurrence of late enophthalmos. Patients presenting a unilateral unoperated blow-out fracture were retrospectively included. OV and HV were measured using planimetry on the initial CT scan images. Read More

View Article and Full-Text PDF

Orbital Floor Blowout Fracture Reconstruction Using Moldable Polymethyl Methacrylate: A Report of Two Cases and Their Imaging Findings.

Open Access Emerg Med 2022 25;14:223-232. Epub 2022 May 25.

Department of Ophthalmology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Khobar City, Eastern Province, Saudi Arabia.

Background: Blowout fracture is defined as an internal orbital fracture that does not involve the orbital rim. This type of fracture results in the loss of tissue and disruption of the structure of the orbital wall. The symptoms and signs include pain, enophthalmos, diplopia, orbital emphysema, and ecchymosis. Read More

View Article and Full-Text PDF

Incidence, Aetiology, and Associated Fracture Patterns of Infraorbital Nerve Injuries Following Zygomaticomaxillary Complex Fractures: A Retrospective Analysis of 272 Patients.

Craniomaxillofac Trauma Reconstr 2022 Jun 17;15(2):139-146. Epub 2021 Jun 17.

Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.

Study Design: Retrospective study.

Objective: Zygomaticomaxillary complex (ZMC) fractures are common facial injuries with heterogeneity regarding aetiologies, fracture types, infraorbital nerve (ION) involvement, and treatment methods. The aim of this study was to identify associations between aetiologies, fracture types, and neurological complications. Read More

View Article and Full-Text PDF

Reflections on a patient-centered approach to treatment of blow-out fractures: Why the wisdom of the pastmust guide our decision-making.

Paolo Scolozzi

J Plast Reconstr Aesthet Surg 2022 Apr 25. Epub 2022 Apr 25.

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

The management of blow-out orbital fractures (BOFs) continues to be controversial and regularly questioned. In recent years, treatment decision-making has shifted from a clinically dominated emphasis to a more objective data-based approach. This has come about through the refinement of imaging technologies that can more precisely define the fracture itself. Read More

View Article and Full-Text PDF

Preliminary outcomes of the surgical navigation system combined with intraoperative three-dimensional C-arm computed tomography for zygomatico-orbital fracture reconstruction.

Sci Rep 2022 May 12;12(1):7893. Epub 2022 May 12.

Division of Trauma Plastic Surgery, Department of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, 5 Fuxing Street, Taoyuan, 333, Taiwan.

This study analyzed the outcomes of zygomatico-orbital fracture reconstruction using the real-time navigation system with intraoperative three-dimensional (3D) C-arm computed tomography (CT). Fifteen patients with zygomatico-orbital or isolated orbital/zygoma fractures were enrolled in this prospective cohort. For zygoma reduction, the displacement at five key sutures and the differences between preoperative and intraoperative CT images were compared. Read More

View Article and Full-Text PDF

Secondary Correction of Posttraumatic Enophthalmos.

Facial Plast Surg 2022 May 11. Epub 2022 May 11.

Otolaryngology-Head & Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, United States.

Posttraumatic enophthalmos (PE) arises when the ocular globe is displaced posteriorly and inferiorly in the orbital cavity due to a mismatch in orbital volume and orbital content. This most commonly happens after orbital fractures. The resulting disruptions to aesthetic form and ocular functions often necessitate surgical correction for reconstruction and restoration. Read More

View Article and Full-Text PDF

South Texas orbital fracture protocol for emergency department evaluation of orbital fractures.

Am J Emerg Med 2022 Jul 27;57:42-46. Epub 2022 Apr 27.

Brooke Army Medical Center, 3551 Roger Brooke Dr., Fort Sam Houston, TX 78234, USA.

Purpose: Facial trauma and orbital fractures are common reasons for ophthalmology consultation in the emergency department (ED). The purpose of this study is to assess intervention rates and evaluate the acuity of ophthalmology consultation for orbital fractures in the ED.

Basic Procedures: A retrospective chart review of orbital fractures was conducted over a 23-month period. Read More

View Article and Full-Text PDF

A clinical decision aid for patients with suspected midfacial and mandibular fractures (the REDUCTION-I study): a prospective multicentre cohort study.

Eur J Trauma Emerg Surg 2022 Apr 16. Epub 2022 Apr 16.

Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB, Groningen, The Netherlands.

Purpose: To assess physical examination findings related to maxillofacial trauma to identify patients at risk of midfacial and mandibular fractures and then to construct a clinical decision aid to rule out the presence of midfacial and mandibular fractures in emergency department patients.

Methods: We performed a prospective multicentre cohort study in four hospitals in the Netherlands, including consecutive patients with maxillofacial trauma. Each patient received a standardized physical examination consisting of 15 and 14 findings for midfacial and mandibular traumas, respectively. Read More

View Article and Full-Text PDF

Prognosticators of Visual Acuity After Indirect Traumatic Optic Neuropathy.

J Neuroophthalmol 2022 06 25;42(2):203-207. Epub 2022 Mar 25.

Ruiz Department of Ophthalmology and Visual Science (AJW, JHQ, AZC, OOA), McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), Houston, Texas; Robert Cizik Eye Clinic (AJW, JHQ, OOA), Houston, Texas; Lyndon B. Johnson Hospital (AJW, JHQ, OOA), Harris Health, Houston, Texas; Department of Diagnostic & Interventional Imaging McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth) (EPS), Houston, Texas; Departments of Ophthalmology and Neurology (JJC), Mayo Clinic, Rochester, Minnesota; Cullen Eye Institute (RF), Department of Ophthalmology, Baylor College of Medicine, Houston Texas; and Department of Neurology (OOA), McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), Houston, Texas.

Background: The purpose of this study is to determine whether there are radiographic and systemic clinical characteristics that can predict final visual outcomes in patients with indirect traumatic optic neuropathy (iTON).

Methods: This study is a retrospective, multicenter case series of adult patients with iTON treated initially at large, urban, and/or academic trauma centers with follow-up at an affiliated ophthalmology clinic. In addition to detailed cranial computed tomography characteristics, demographics, systemic comorbidities, coinjuries, blood products administered, and intracranial pressure, along with other factors, were gathered. Read More

View Article and Full-Text PDF

[Skull and skull base injuries in children and adolescents : Results of a monocentric analysis].

HNO 2022 May 14;70(5):352-360. Epub 2022 Apr 14.

Klinik für Hals‑, Nasen‑, Ohrenheilkunde, KRH Klinikum Nordstadt, Haltenhoffstraße 41, 30167, Hannover, Deutschland.

Background: The present study comprises a retrospective analysis of skull, skull base, and midface fractures in children, to provide clinical orientation for their management. To date, only few data are available on these injuries in this patient group.

Methods: Data from inpatient cases diagnosed with a midface, skull, or skull base fracture in the Children's Hospital Auf der Bult from 2015 to 2020 were evaluated. Read More

View Article and Full-Text PDF

Orbital fractures.

Tidsskr Nor Laegeforen 2022 04 4;142(6). Epub 2022 Apr 4.

View Article and Full-Text PDF

Application of optimized three-dimensional digital surgical guide plates for complex midfacial fractures.

Injury 2022 Jun 8;53(6):2005-2015. Epub 2022 Mar 8.

The State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China; Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University, Chengdu 610041, China; Engineering Research Center of Oral Translational Medicine, Ministry of Education, Chengdu 610041, China. Electronic address:

Introduction: The treatment of midfacial fractures is always difficult. The purpose of this study was to verify whether optimized three-dimensional (3D) digital surgical guide plates combined with preformed titanium plates improved the treatment effect in complex midfacial fractures.

Patients And Methods: Twenty-six patients with complex midfacial fractures were recruited and randomized into three groups: ten for Group A, eight for Group B, and eight for Group C. Read More

View Article and Full-Text PDF

A Literature Review of Rapid Prototyping and Patient Specific Implants for the Treatment of Orbital Fractures.

Craniomaxillofac Trauma Reconstr 2022 Mar 14;15(1):83-89. Epub 2021 Apr 14.

Department of Oral and Maxillofacial Surgery, Christchurch Hospital, Christchurch, New Zealand.

Post-traumatic reconstruction of the orbit can pose a challenge due to inherent intraoperative problems. Intra-orbital adipose tissue is difficult to manipulate and retract making visualization of the posterior orbital contents difficult. Rapid prototyping (RP) is a cost-effective method of anatomical model production allowing the surgeon to produce a patient specific implant (PSI) which can be pre-surgically adapted to the orbital defect with exact reconstruction. Read More

View Article and Full-Text PDF

Intraoperative cone beam assessment after reduction of zygomatic fractures helps in taking a decision on associated orbital floor fractures.

J Stomatol Oral Maxillofac Surg 2022 Mar 5. Epub 2022 Mar 5.

Department of Oral and Maxillofacial Surgery, University Hospital of Besançon, 3 Boulevard Fleming, Besançon Cedex 25030, France; Nanomedicine Laboratory, Imagery and Therapeutics, EA 4662, UFR Sciences et Techniques, University of Franche-Comté, route de Gray, Besançon Cedex 25030, France.

Introduction: Orbital floor fracture (OFF) are frequently associated with zygomatic fractures (ZF). The reduction of the ZF may modify the features of the associated OFF. Intraoperative cone beam CT (CBCT) has shown diagnostic performance of OFF. Read More

View Article and Full-Text PDF

Accuracy of the Application of 3-Dimensional Printing Models in Orbital Blowout Fractures-A Preliminary Study.

Ann Plast Surg 2022 03;88(1s Suppl 1):S33-S38

Rehabilitation and Technical Aids Center, Taipei Veterans General Hospital.

Background: Application of 3-dimensional (3D) printing technology has grown in the medical field over the past 2 decades. In managing orbital blowout fractures, 3D printed models can be used as intraoperative navigators and could shorten the operational time by facilitating prebending or shaping of the mesh preoperatively. However, a comparison of the accuracy of computed tomography (CT) images and printed 3D models is lacking. Read More

View Article and Full-Text PDF

Canine tooth syndrome due to orbital roof fracture.

BMJ Case Rep 2022 Feb 25;15(2). Epub 2022 Feb 25.

Child Sight Institute, Nimaggada Prasad Children's Eye Care Centre, Paediatric Ophthalmology, Strabismus and Neuro-ophthalmology, L V Prasad Eye Institute, GMR Varalakshmi Campus, Visakhapatnam, Andhra Pradesh, India

View Article and Full-Text PDF
February 2022

Quantitative analysis of soft tissue sagging after lateral midface fractures: A 10-year retrospective study.

J Stomatol Oral Maxillofac Surg 2022 Feb 22. Epub 2022 Feb 22.

Department of Oral and Maxillofacial Surgery, Hannover Medical School, Carl-Neuberg Strasse 1, 30625 Hannover, Germany.

Background: Lateral midface fractures occasionally require open reduction and internal fixation to restore function and facial symmetry. However, some patients retain facial asymmetry despite undergoing surgery due to hard tissue displacement or soft tissue sagging. This study aimed to determine the influence of soft tissue sagging on the postoperative facial symmetry. Read More

View Article and Full-Text PDF
February 2022

Accuracy of globe-sparing orbital reconstruction using individually bent titanium mesh: A comparative study.

J Plast Reconstr Aesthet Surg 2022 Jun 23;75(6):1971-1978. Epub 2022 Jan 23.

Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, 22 Zhongguancun South Avenue, Beijing 100081, China. Electronic address:

Accurate reconstruction of orbital and midfacial defects following extensive globe-sparing maxillectomy is challenging, due to the complex anatomy of facial skeleton. The aim of this study is to evaluate the outcomes of individually bent titanium mesh in navigation-assisted reconstruction of post-ablative orbits in comparison with that without intraoperative navigation. Forty-one patients undergone globe-sparing maxillectomy and orbital floor reconstruction using individually bent titanium mesh with or without intraoperative navigation were assessed. Read More

View Article and Full-Text PDF

Classification and Management of Infra-orbital Rim Fractures.

J Oral Maxillofac Surg 2022 Jun 8;80(6):1053-1061. Epub 2022 Jan 8.

Director, Department of Orbit Oculoplasty, Reconstructive and Aesthetic Services, Shankara Nethralaya, Chennai, India.

Purpose: Fractures of the infraorbital rim (IOR) are often undertreated with a resultant compromise of facial esthetics and function. The purpose of this research was to identify types of IOR fractures related clinical findings and assess post-treatment outcomes.

Methods: A retrospective cohort study was implemented involving all patients treated for IOR fractures during an 18-month period. Read More

View Article and Full-Text PDF

Computed tomography in traumatic orbital emergencies: a pictorial essay-imaging findings, tips, and report flowchart.

Insights Imaging 2022 Jan 12;13(1). Epub 2022 Jan 12.

Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Via Festa del Perdono, 7, 20122, Milan, MI, Italy.

Computed tomography (CT) is considered the gold standard technique for the assessment of trauma patients with suspected involvement of the eye and orbit. These traumas can result in dramatic consequences to visual function, ocular motility, and aesthetics. CT is a quick and widely available imaging modality, which provides a detailed evaluation of the orbital bony and soft tissue structures, an accurate assessment of the globes, and is used to guide the patients' treatment planning. Read More

View Article and Full-Text PDF
January 2022

Do Patient-Specific Implants Decrease Complications and Increase Orbital Volume Reconstruction Accuracy in Primary Orbital Fracture Reconstruction?

J Oral Maxillofac Surg 2022 04 21;80(4):669-675. Epub 2021 Dec 21.

Assistant Professor, Department of Oral & Maxillofacial Surgery, Louisiana State University Health Sciences Center, New Orleans, LA. Electronic address:

Purpose: Patient-specific titanium implants are increasingly used in orbital trauma as a means of achieving improved surgical outcomes as well as decreasing postoperative complications; however, the data to support their use remain limited. The purpose of this study is to compare the complication rates and accuracy of orbital reconstruction using preformed titanium mesh implants and patient-specific implants.

Methods: The authors conducted a retrospective cohort study consisting of patients with orbital floor and/or medial wall fractures treated by reconstruction with either preformed or patient-specific implants from August 1, 2015 to December 31, 2020. Read More

View Article and Full-Text PDF

Acute Abducens Nerve Palsy in a Patient who Sustained Mechanical Trauma to the Orbit.

Br Ir Orthopt J 2021 9;17(1):150-154. Epub 2021 Dec 9.

Royal Lancaster Infirmary, GB.

Background: Abducens nerve (Cranial Nerve VI) innervates the lateral rectus (LR) muscle. Head trauma is one of the most common causes of abducens nerve palsy. Orbital and/or facial injuries could also affect the LR muscle directly or the orbital course of abducens nerve and lead to palsy. Read More

View Article and Full-Text PDF
December 2021

[Acute orbital trauma - risk of permanent impaired vision and double vision].

Lakartidningen 2021 Dec 13;118. Epub 2021 Dec 13.

överläkare, PhD, ögonkliniken, Skånes universitetssjukhus.

The purpose of this article is to highlight the importance of appropriate management of acute orbital trauma, in order to prevent permanent impaired vision and double vision. Orbital blowout fractures with entrapment, so-called trapdoor fractures, occur more often in children than in adults, and require immediate surgical intervention. A blowout fracture with impingement, so-called open door fracture, does not require immediate intervention. Read More

View Article and Full-Text PDF
December 2021

Iatrogenic nasolacrimal duct obstruction after adnexal intervention: An avoidable consequence.

Oman J Ophthalmol 2021 Sep-Dec;14(3):157-161. Epub 2021 Oct 20.

Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Aditya Birla Sankara Nethralaya, Kolkata, West Bengal, India.

Purpose: Isolated cases of nasolacrimal duct obstruction (NLDO) secondary to rhino-orbito-facial reconstructive surgeries have been reported previously. We report the clinical profiles and management outcomes of a series of patients with iatrogenic INDO.

Materials And Methods: Case records of all patients who presented with secondary NLDO over 5 years were retrospectively analyzed. Read More

View Article and Full-Text PDF
October 2021

Contemporary Management of Zygomaticomaxillary Complex Fractures.

Semin Plast Surg 2021 Nov 7;35(4):256-262. Epub 2021 Oct 7.

Department of Oral and Maxillofacial Surgery, University of Washington, Seattle, Washington.

Zygomaticomaxillary complex fracture is one of the most commonly treated facial fractures. Accurate reduction and stable fixation of the zygoma are required to restore facial symmetry and projection and avoid functional sequalae from changes in orbital volume. Achieving optimal outcome is challenging due to the complex three-dimensional anatomy and limited visualization of all affected articulations of the zygoma. Read More

View Article and Full-Text PDF
November 2021

Approach to Orbital Fractures After Athletic Injuries.

John Flynn

Facial Plast Surg Clin North Am 2022 Feb;30(1):31-45

Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, The University of Kansas Medical Center, 3901 Rainbow Boulevard, MS 3010, Kansas City, KS 66160, USA. Electronic address:

The bony orbit is commonly involved in athletic injuries. Evaluation should include a comprehensive history and ocular examination. Computed tomography imaging is the gold standard for diagnostic testing. Read More

View Article and Full-Text PDF
February 2022

Postoperative Computed Tomography for Facial Fractures.

Neuroimaging Clin N Am 2022 Feb;32(1):231-254

Trauma and Emergency Radiology, Department of Diagnostic Radiology and Nuclear Medicine, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 655 W Baltimore Street, Baltimore, MD 21201, USA. Electronic address:

In order for a radiologist to create reports that are meaningful to facial reconstructive surgeons, an understanding of the principles that guide surgical management and the hardware employed is imperative. This article is intended to promote efficient and salient reporting by illustrating surgical approaches and rationale. Hardware selection can be inferred and a defined set of potential complications anticipated when assessing the adequacy of surgical reconstruction on postoperative computed tomography for midface, internal orbital, and mandible fractures. Read More

View Article and Full-Text PDF
February 2022

Prebending of Prefabricated Orbital Implants: Towards Improved Orbital Angle Symmetry Post Craniofacial Trauma Surgery.

J Craniofac Surg 2022 May 19;33(3):740-743. Epub 2021 Nov 19.

Department of Ophthalmology, National University Hospital Singapore.

Purpose: Reconstructive surgery after craniofacial trauma aim to restore orbital anatomy for function and aesthetic reasons. The purpose of this study is to improve postoperative orbital symmetry with the use of prebent prefabricated titanium implants.

Methods: In this retrospective study, patients with combined unilateral medial wall and floor fractures who underwent orbital reconstruction surgery were selected. Read More

View Article and Full-Text PDF

[Orbital Trauma].

Klin Monbl Augenheilkd 2021 Dec 19;238(12):1345-1360. Epub 2021 Nov 19.

Orbital trauma is a common medical emergency with potentially sight-threatening complications. Due to the confined orbital conditions, any direct injury or space-consuming lesion may cause serious tissue damage. Possible complications are orbital fractures, foreign body injuries, development of orbital compartment syndrome and traumatic optic neuropathy. Read More

View Article and Full-Text PDF
December 2021

Digital Technologies in the Surgical Treatment of Post-Traumatic Zygomatico-Orbital Deformities.

Sovrem Tekhnologii Med 2021 28;12(3):55-61. Epub 2020 Jun 28.

Associate Professor, Department of Traumatology, Orthopedics and Neurosurgery; Head of the Laboratory of Additive Technologies; Privolzhsky Research Medical University, 10/1 Minin and Pozharsky Square, Nizhny Novgorod, 603005, Russia.

was to determine the efficacy of using digital technologies in patients with post-traumatic deformities of the zygomatico-orbital complex (ZOC) by comparing the results with the conventional methods of surgical treatment.

Materials And Methods: The article summarizes treatment results of 231 patients with ZOC injuries who underwent surgery at the clinical facilities of Privolzhsky Research Medical University (Nizhny Novgorod) in 2011-2019. There were treated 44. Read More

View Article and Full-Text PDF