The Association of Same-Day CT Scan with Postoperative Outcomes in Isolated Orbital Fracture Repair.

IF 1.1 4区医学 Q3 SURGERY

Facial Plastic Surgery Pub Date : 2024-10-01 Epub Date: 2023-11-22 DOI:10.1055/a-2216-5015

Kwasi Enin, Cole Pavelchek, Yupeng Liu, Sebastian Sciegienka, Emily Spataro

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引用次数: 0

Abstract

The potential benefits to surgical outcomes of intraoperative and/or same-day computed tomography (CT) during isolated orbital fracture reconstruction are debatable, and previous research on this topic is limited by small sample size. This retrospective IBM MarketScan Commercial and Medicare Supplemental research database study examined patients undergoing isolated orbital reconstruction from January 1, 2012 to December 31, 2018, to assess whether same-day CT affected postoperative outcomes. The average age of the 5,023 participants was 37 (standard deviation [SD]: 16) years and 63% were males. The data revealed that 16.2% (815 of 5,023) patients underwent a same-day CT. Those who underwent a same-day CT scan exhibited reduced odds of postoperative enophthalmos (adjusted odds ratio [aOR]: 0.269; 95% confidence interval [CI]: 0.167-0.433) and diplopia (aOR: 0.670; 95% CI: 0.495-906). Interestingly, these patients also displayed a higher rate of revision surgeries (aOR: 2.721; 95% CI: 1.893-3.912). In summary, while same-day CT scans diminish certain postoperative complications of orbital fracture repair, they are also associated with an increased likelihood of subsequent surgical revision.

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当天CT扫描与孤立性眼眶骨折修复术后预后的关系。

在孤立性眶骨折重建中，术中和/或当日计算机断层扫描(CT)的使用一直存在争议，因为其对患者预后的潜在影响。这一领域以前的研究受到样本量小的限制。这项回顾性研究来自IBM MarketScan商业和Medicare补充研究数据库，研究了2012年1月1日至2018年12月31日期间接受孤立眼眶重建的患者，旨在确定当天CT扫描是否可以减少术后不良结果。在5023名参与者中，平均年龄为37岁(标准差为16)，63%为男性。数据显示，16.2%(5023例中的815例)进行了当日CT检查。接受当天CT扫描的患者术后内眼(aOR: 0.269 [95% CI, 0.167-0.433])和复视(aOR, 0.670 [95% CI, 0.495-906])的几率降低。相反，这些患者的翻修手术率也较高(aOR: 2.721， [95% CI, 1.893-3.912])。综上所述，虽然眼眶骨折修复期间的当日CT扫描似乎有助于减少某些术后并发症，但也与后续手术修复的可能性增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Facial Plastic Surgery 医学-外科

CiteScore

1.80

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures. Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.