Incidence of Pure Orbital Fractures with Concomitant Lacrimal Drainage System Injury in the Japanese Population: A Retrospective Study.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-24 DOI:10.1080/08820538.2024.2346762

Steffani Krista Someda, Jose Miguel Ambat, H. Miyazaki, Yasuhiro Takahashi

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Abstract

PURPOSE This study aims to determine the incidence of pure orbital fractures with concomitant lacrimal drainage system injuries. METHODS A retrospective observational study involving 956 sides from 940 pure orbital blowout fracture patients was conducted in our institution. Patients with concomitant orbital rim fracture and those with old orbital fractures were excluded. RESULTS A total of 13 sides (1.4%) from 13 patients were included in the study. Canalicular laceration, bony nasolacrimal canal fracture, and lacrimal sac wall laceration were found in 9, 4, and 1 patients, respectively (one overlapping). Majority of the injuries resulted from either sports or falls. Inferomedial orbital strut fracture (23.1% vs. 7.6%; p = .075) and orbital floor fracture occurring lateral to the infraorbital groove (30.8% vs. 9.9%; p = .035) tended to be higher in patients with lacrimal drainage system injuries. CONCLUSION There is a 1.4% incidence rate of pure orbital fractures with concomitant lacrimal drainage system injuries among the Japanese population included in this study. Inferomedial orbital strut fractures and orbital floor fracture lateral to the infraorbital groove were found to have higher association with lacrimal drainage system injuries.

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日本人口中伴有泪液引流系统损伤的单纯眼眶骨折的发生率：回顾性研究

目的本研究旨在确定伴有泪液引流系统损伤的单纯眼眶骨折的发生率。方法本院开展了一项回顾性观察研究，涉及 940 例单纯眼眶爆裂性骨折患者中的 956 侧。结果共有 13 名患者的 13 个侧（1.4%）被纳入研究。分别有 9、4 和 1 例患者（1 例重叠）出现泪道裂伤、鼻泪管骨性骨折和泪囊壁裂伤。大多数损伤是由运动或跌倒造成的。眶内侧支柱骨折（23.1% vs. 7.6%；p = .075）和发生在眶下沟外侧的眶底骨折（30.8% vs. 9.9%；p = .035）在泪道引流系统损伤的患者中发病率较高。研究发现，眶内侧支柱骨折和眶底骨折与泪道引流系统损伤的相关性较高。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.