Clinical and Surgical Results of Treatment Modalities in Orbital Roof Fractures: Single-Center Experience.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Irmak Tekeli Barut, Derya Karataş, Saygi Uygur, Yakup Yildirim, Efekan Doruk, Ahmet Dağtekin, Emel Avci
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引用次数: 0

Abstract

Orbital roof fractures are uncommon craniofacial fractures. Due to the location of the fracture and the mechanism of trauma, it is often associated with neuroophthalmological injuries. The authors aimed to evaluate the results of conservative and surgical treatments of patients with orbital roof fractures and present our clinical experiences regarding optimal treatment planning, especially in cases of moderate or severe head trauma. The authors retrospectively identified 145 patients who were treated for orbital roof fractures. Three colored silicone-injected cadaver samples and a dry skull were used to show the panoramic view of the anatomy of the orbital region. In this study, orbital roof fractures were classified under 4 types. The most common fracture type was type 1 (42%). Intracranial hemorrhage was observed in 60% of all cases and was most common in type 3 fractures (68%). Neuro-ophthalmological deficits were detected in 16% of all patients and were most common in Type 4 fractures (47%). Third cranial nerve deficit was the most common deficit (39%). Neuroophthalmological deficits were detected in 9.5 % of patients with mild head trauma and 32.5% in patients with moderate or severe head trauma. Moderate or severe head trauma was detected in 28% of the cases. Moderate or severe head trauma makes it difficult to detect neuro-ophthalmological complications, which are critical in determining the need for acute surgery. In patients with moderate or severe brain injury, treatment should be individualized according to the nature of the displacement and the relationship between concomitant fractures and intracranial hemorrhage.

眼眶顶骨折治疗方法的临床和手术效果:单中心经验
眶顶骨折是一种不常见的颅面部骨折。由于骨折的位置和创伤的机理,它通常与神经眼科损伤相关。作者旨在评估眶顶骨折患者保守治疗和手术治疗的效果,并介绍我们在最佳治疗方案方面的临床经验,尤其是在中度或重度头部创伤的病例中。作者回顾性地确定了 145 名接受治疗的眶顶骨折患者。研究中使用了三个彩色硅胶注射尸体样本和一个干燥的头骨来展示眼眶区域解剖的全景。这项研究将眶顶骨折分为四种类型。最常见的骨折类型是第1型(42%)。颅内出血在所有病例中占 60%,在第 3 型骨折中最为常见(68%)。16%的患者出现神经眼科缺陷,其中以第4型骨折最为常见(47%)。第三颅神经缺损是最常见的缺损(39%)。9.5%的轻度头部外伤患者和32.5%的中度或重度头部外伤患者出现神经眼科缺陷。在 28% 的病例中发现了中度或重度头部创伤。中度或重度头部创伤很难检测到神经眼科并发症,而这些并发症对于确定是否需要进行急性手术至关重要。对于中度或重度脑损伤患者,应根据移位的性质以及并发骨折和颅内出血之间的关系进行个体化治疗。
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来源期刊
Accounts of Chemical Research
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.
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