Orbital floor fractures-a comparison between CT images and findings at surgery.
Eur Arch Otorhinolaryngol
; 280(6): 2795-2803, 2023 Jun.
Article
en En
| MEDLINE
| ID: mdl-36625866
ABSTRACT
PURPOSE:
The present study aims to investigate how well CT images correlate to surgical findings in orbital floor fractures and to the presence of diplopia.METHODS:
In this cross-sectional study, 27 consecutive patients already selected for surgery due to an orbital floor fracture underwent a routine CT scan (axial, coronal, sagittal). An ophthalmologist established any presence of diplopia. Extent of fracture/injury seen on CT was compared to that discovered during surgery.RESULTS:
In the surgeons´ opinions CT-images were in concordance with surgical findings in 71% of the cases. Agreement for pure blow out fractures was high (92%). Tetrapod fractures as a cause of an orbital floor fracture was only identified as such by surgeons in three of 11 cases, all subjected to orbital exploration, not only a closed reduction. Diplopia showed a significant correlation to rounding of the inferior rectus muscle at coronal CT. "Rounding" significantly correlated with the presence of a floor defect, to herniation of soft tissues and to the volume of displaced tissue.CONCLUSIONS:
The results imply that the joint professional interaction between neuroradiology and surgery is important and would benefit from the use of an easy and well-defined classification system of orbital floor fractures. In Sweden a national record to collect data on all zygomaticomaxillary complex fractures assessed is to be started aiming at making general statements possible by time.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Fracturas Orbitales
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Humans
Idioma:
En
Año:
2023
Tipo del documento:
Article