Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Epidemiologic evaluation and management of patients with orbital fractures admitted to plastic and reconstructive surgery ward in Imam Khomeini hospital, Tehran, Iran

Document Type : Original

Authors
Ezzatollah Rezaei
Mohammad Reza Farevash
Mahdi Fathi
Department of surgery, Ghaem hospital, Mashhad University of Medical Sciences, Iran
10.22038/ijorl.2009.804
Abstract
Introduction: Orbital fractures comprise a significant part of facial traumas. The purpose of this study was to evaluate the outcome and epidemiologic features of patients with orbital fractures in Imam Khomeini hospital over a 10-year period.
Materials and Methods: One hundred and three patients with orbital fractures were included in this study. Data obtained from medical records of patients were statistically analyzed.
Results: 68% of patients were in the age range of 20-40. The male to female ratio was 5 to 1. Motor vehicle accidents were the main cause of injury and most frequently involved area was the orbital floor. The main clinical finding was echymosis and the most common associated injury was zygomatic bone fracture. Diplopia, enophthalmos and deformity were improved in 94.5%, 86.2% and 87.5% of cases postoperevtively. The frequency of enophthalmos in patients with medial wall fracture was significantly more than patients with fractures of other orbital areas (P<0.05). Patients who underwent Gillies approach had significantly more postoperative complications (P<0.05). There was no significant correlation between the location of orbital fracture and postoperative complications.
Conclusion: It seems that young males have the highest risk of orbital fractures in our population and the most common etiology is car accidents. Due to significant injuries in adjacent tissues especially the brain, appropriate evaluation and early management should be considered in these fractures.
 
Keywords
Facial trauma
Orbital fracture
Ocular injury
Iranian Journal of Otorhinolaryngology
Volume 20, Issue 4 - Serial Number 54
September and October 2009
Pages 201-208