Prevalence and classification of traumatic orbital fractures using computed tomography: A study from Phranakorn Sri Ayutthaya hospital
Keywords:
prevalence, orbit, fracture, trauma, computed tomographyAbstract
Orbital fracture was often found after trauma to orbital or periorbital regions. The etiology of orbital fracture was caused by pressure effect to orbit or periorbital regions then result in orbital fracture. Some patients have improved symptom without any treatment. Some patients have more than half of orbital fracture and have complications including enopthalmos and muscle entrapment, result in blurred vision and decreased visual acuity if no immediate treatment in the proper time. The radiologist has the important role to diagnose orbital fracture and further proper operative management. A descriptive study was performed. 416 patients who received a computed tomography of maxillofacial bone in Phranakorn Sri Ayutthaya Hospital investigation between January 1, 2022 and December 31, 2023 were identified in 2 years. All patients were reviewed for CT imaging by one radiologist. Data recorded included gender, age, location of fracture and etiology of fracture. Descriptive analysis was used for reporting the prevalence of orbital fracture and the etiology of injury and types of fracture. 354 patients with diagnosed orbital fracture were found (85.1%). 294 patients (83.1%) of the patients were males. Most orbital fracture found between 21-30 years (n=86, 24.3%). The most common cause of orbital fractures was motor vehicle accident (n=380, 91.3%). The most common type of orbital fracture was combined fracture (n=330, 93.2%). The most common number of wall fracture was more than one wall (n=280, 79.1%) The most common location of orbital fracture was a floor fracture (n=276, 78%). The most common location of orbital fracture was a floor fracture (n=276, 78%). The results of this study could help physicians make accurate diagnoses and plan treatments, particularly for younger males involved in car accidents.
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