Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology
Volume 113, Issue 2 , Pages 168-171, February 2012

Retrospective analysis of 314 orbital fractures

  • Pablo Rosado, DDS, MD

      Affiliations

    • Attending. Dept. of Oral and Maxillofacial Surgery, Central Univ. Hospital, Oviedo, Spain
    • Corresponding Author InformationReprint requests: Pablo Rosado, Asturias Central Univ. Hospital, Celestino Villamil St. 33009, Oviedo, Spain
    • ,
  • Juan C. de Vicente, DDS, MD, PhD

      Affiliations

    • Professor and Chief, Dept. of Oral and Maxillofacial Surgery, Univ. of Oviedo, Central Univ. Hospital, Oviedo, Spain

Received 15 December 2010; received in revised form 24 January 2011; accepted 27 January 2011. published online 20 April 2011.

Objective

The aim of this study was to retrospectively review the orbital fractures treated at our institution, especially epidemiologic aspects, treatment options, and postoperative sequelae.

Study Design

Three hundred fourteen patients with orbital fractures treated at the Department of Oral and Maxillofacial Surgery of the Central University Hospital in Asturias (Spain) between 2000 and 2006 were retrospectively reviewed. The patients were evaluated by age, gender, etiology, diagnostic tools, fracture pattern, treatment, and complications.

Results

The most common causes of injury were motor vehicle accidents (29.6%), followed by falls (27.4%). Men in the sixth decade were most affected. One hundred forty-four patients (46%) underwent internal fixation with titanium miniplates, and 17 (5.4%) required orbit floor implants. The most frequent sequelae were infraorbital nerve hypoesthesia (24.5%), enophthalmos (3.8%), and diplopia (2.2%).

Conclusions

In our area of 1 million inhabitants, falls are the second cause of orbital fractures, which can be attributed to the large aged population. Postoperative complications cannot be definitely evaluated until a few months after the surgery.

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PII: S1079-2104(11)00062-X

doi:10.1016/j.tripleo.2011.01.035

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology
Volume 113, Issue 2 , Pages 168-171, February 2012

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