<< Back to the abstract archive
Isolated orbital fractures and concomitant ocular and neurologic injuries. Are there any differences between mechanism of injury, age and complications?
Alan Y. Martinez, DDS, Kyle Lineberry, MD, Yirae Ort, DDS, Ali Totonchi, MD.
2014-02-26
Presenter: Kyle Lineberry
Affidavit:
Approximately 80%
Director Name: Hooman Soltanian
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
Introduction:
Isolated orbital fractures are a common presenting trauma for all craniofacial surgeons who work in trauma centers. These patients often present with unclear medical history and presenting complaints, and are often either intoxicated or confused. We set out to assess the prevalance of concomitant globe, intracranial, and spinal injuries in the population of patient's presenting with isolated orbital fractures, as well as determine whether an association exsits between mechanism of injury and association with other bodily injuries.
Methods:
A retrospective review of all orbital fractures evaluated by the plastic surgery and oral surgery services was performed at a level one trauma center in Cleveland from June 2006- June 2012. Patient's were excluded if any other concomitant facial fractures were noted on CT scan. Thus all patient's were found to have only isolated fractures of the orbit. Data was collected regarding demographics, presenting symptoms, type of orbital injury, mechanism of injury, as well as concomitant bodily injuries. Data was then analyzed to assess for any significant associations.
Results:
A total of 458 patient charts were reviewed and 98 patients met the inclusion criteria. At time of submission final data analysis is pending. Preliminary results indicate isolated orbital fractures are often associated with a concomitant injury. Injuries due to assault areoften associated with a globe or optic nerve trauma. Isolated fractures due to fall were more common in elderly population. Finally isolated orbital fractures due to MVC or falls were most often associated with spine injuries.
