Where Should We Focus in Emergency Orbital Trauma?

Authors : Abdullah ŞÜKÜN, Elmas YÜKSEL ŞÜKÜN

Pages : 608-12

Doi:10.37990/medr.1309554

View : 57 | Download : 46

Publication Date : 2023-09-18

Article Type : Research Paper

Abstract :Aim: To describe the most common findings in orbital trauma and to support radiologic decision making by comparing them in 7 pathology regions. Material and Methods: A total of 190 patients insert ignore into journalissuearticles values(119 males and 71 females); participated in the study. Orbital injury pathologies were documented and compared in seven regions. The most typical results of orbital tomography were determined. Binominal regression analysis was also performed for each trauma region. Results: 190 orbital CT scans showed 13.7% orbital bone fractures insert ignore into journalissuearticles values(n=26);, 7.9% bulbus pathology insert ignore into journalissuearticles values(n=15);, 2.6% vitreous pathology insert ignore into journalissuearticles values(n=5);, 2.1% extraocular muscle pathology insert ignore into journalissuearticles values(n=4);, and 6.3% insert ignore into journalissuearticles values(n=13); retrobulbar pathology. The most common globe pathologies were lens displacement and globe rupture. Retrobulbar fat plane changes insert ignore into journalissuearticles values(4.2% n=8); were the most common pathology in the region. Periorbital edema was the most common periorbital disease in 86.3% of cases insert ignore into journalissuearticles values(n=164);. When evaluated using cross-tabulations between the seven pathologic regions, the relationship between bone pathology and retrobulbar area and between globe and vitreous was statistically significant insert ignore into journalissuearticles values(p<0.05);. In binominal regression analyses, 5 trauma models were significant and showed more than 80 percent success in predicting trauma location insert ignore into journalissuearticles values(p<0.05);. Conclusion: Orbital fractures and pathologies of the retrobulbar space, globe and vitreous are interrelated. Radiologists should be familiar with orbital fracture patterns, potential soft tissue injuries and ocular anomalies and should be able to evaluate the relationship between pathologies.
Keywords : orbital traumas, orbital tomography, computed tomography, prevalence